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Washington Pediatric Practice Transformation Network

(From the November, 2015 issue of Developments, the e-newsletter of the Washington Chapter of the American Academy of Pediatrics (WCAAP). Written by Sarah Rafton, MSW, Executive Director of the WCAAP. )

“The Washington State Department of Health (DOH) was recently awarded $16.3 million over 4 years to implement the Transforming Pediatric Practice Initiative (TPPI) through a federal Center for Medicaid and Medicare Services Innovation grant. CMS’ Transforming Pediatric Practice Initiative will provide technical assistance and an adaptive learning model to support health care providers and teams to transform the way they deliver care to patients, with the goal of improving health outcomes and reducing costs. The Washington Chapter of the American Academy of Pediatrics will be a key partner with DOH to structure supports to providers and engage providers in this work. WCAAP will also help lead behavioral health integration under the project.

The work will be implemented through a statewide network of Molina-contracted providers. DOH will lead practice improvement training and coaching at the local level, in the nine Accountable Communities of Health geographic regions. Molina will provide quality and cost-benefit reporting for the project. Strategies to incentivize clinical practices for better outcomes will be tested.

Major areas of focus for the project will include: improving immunization rates, improving access to primary care and integrating behavioral health care. WCAAP president Mike Dudas, MD, FAAP and executive director Sarah Rafton will provide overall direction for the Chapter’s involvement in the project. Beth Harvey, MD, FAAP will serve as the Chapter’s lead on recruitment.”

To learn more about the project contact: Kathleen Clark at the Washington State Department of Health (kathleen.clark@doh.wa.gov) or Sarah Rafton at WCAAP (srafton@wcaap.org)

Washington Healthcare Improvement Network

The Washington Healthcare Improvement Network (WHIN) offers training, technical assistance, and quality improvement supports to primary care teams working to establish or refine patient and family centered medical homes.

WHIN is an initiative of the Washington State Department of Health. WHIN serves all interested primary care practice teams and is committed to being responsive to the needs of pediatric teams, in addition to family and internal medicine. The emphasis is on practical, tangible tools and examples from peer teams with successful improvements.

WHIN works with clinics in specific regions and communities.  WHIN has worked with:

  • Whatcom County and the Whatcom Alliance for Health Advancement.
  • Thurston, Mason and Lewis counties partnering with CHOICE Regional Health Network in this region.
  • Eastern WA (2014-15) – Clinics came from the eligible counties of Ferry, Stevens, Pend Oreille,  Lincoln, Spokane, Grant, Adams, Whitman, Columbia,  Garfield and Asotin.  This work was in partnership with the Washington Association of Community and Migrant Health Centers and the Eastern WA Critical Access Hospital Network. More information.

For the state regions not currently being served by WHIN’s community based approach, a self- paced pathway to medical home called WHIN Institute offers a package of services to support medical home development.

Resources are continually being developed to add to the platform.  Resources available to all Institute participants include:

  • Monthly webinars
  • Assessment linked to customized resources
  • Extensive library of e-learning modules for self-paced individual or team education
  • Virtual meetings with links to other teams
  • Technical assistance with population measures
  • Templates to drive quality improvement action planning
  • Two tracks available- choose the track that fits your desired level of involvement

Who can participate in the WHIN Institute?

  • Primary care teams led by MD, DO, PA, or ARNP
    o Family medicine
    o Internal medicine
    o Pediatrics
    o Geriatrics
  • Behavioral health teams integrating primary care
  • Healthcare and public health individuals and teams seeking education on health care transformation

What are the benefits?

  • Improve care and outcomes for patients and families
  • Position for payment reform
  • Strengthen the team with new roles and skills
  • No charge for services or CME or contact hours
  • Prepare for accreditation

For more information, please visit the WHIN Institute page or email the WHIN team at WHIN@doh.wa.gov

Additional learning opportunities for healthy communities

Top Four Strategies for Becoming a Medical Home:

  1. Engage parents as partners at the practice level.
  2. Identify children and youth with special health care needs (CYSHCN) – Build and use a registry; Use a chart coding system; Stratify by levels of complexity.
  3. Use planned visit encounters.
  4. Develop care coordination and communication at the practice level.


Strategies From Jeanne McAllister, Co-Director – Center for Medical Home Improvement