PSH Learning Collaborative 3.0 Application

PSH Scholarship Participant Expectations & Application
Submit by March 21, 2018 for consideration.
FRAMEWORK FOR THE PSH LEARNING COLLABORATIVE 2020

The collaborative will feature two participation options, a Core Collaborative and an Advanced Cohort, each designed to meet the specific needs of organizations in different stages of their transformation journey. In addition, the Advanced Cohort members will have the ability to purchase the Bundles Payment Add-On Option which helps members assess their facility’s benefits and risks in participating in various bundle payment programs. The collaborative will begin on May 1, 2018 and run for two years.

Option 1: CORE COLLABORATIVE – KEY ACTIVITIES & MEMBER EXPECTATIONS

The Core Collaborative is designed for organizations that are in the early stages of transformation and therefore are primarily focused on learning, building capabilities and preparing for implementation.

Key activities and services available to Core Collaborative participants will include:
- National meetings (semi-annual)
- Educational webinars (monthly)
- Member sharing webinars (monthly)
- Collaborative updates via email (biweekly)
- Access to a clinical protocol repository (ongoing)
- Access to implementation best practices and tools (ongoing)
- Access to payment model resources and templates (ongoing)
- Access to an Advanced Collaborative-Only section of the Collaboration Community
- Coaching to help develop publication strategy
In joining the Core Collaborative, participants will commit to:
- Identifying an anesthesiologist champion and securing time for active participation
- Identifying a surgeon champion and securing time for active participation
- Identifying an administrative champion and securing time for active participation
- Attending and actively participating in national meetings
- Attending and actively participating in educational webinars
- Attending and actively participating in member sharing/networking calls
- Responding to requests for help and guidance from collaborative participants
- Responding to requests for feedback and input from collaborative staff
- Proactively sharing best business and clinical practices with collaborative participants and staff
- Regularly reviewing resources available on the online PSH Community
- Scholars are required to submit two scholar status reports to ASA (ASA will provide a report template)
Option 2: ADVANCED COHORT – KEY ACTIVITIES & MEMBER EXPECTATIONS

The Advanced Cohort is intended for organizations that are looking to optimize or expand their PSH pilot.

Key activities and services available to Advanced Cohort participants will include all those offered to the Core Collaborative (see above), as well as the following additional features:

- Focused performance optimization sprints and webinars (semi-annual)
- Access to a separate section of the online collaboration community (ongoing)
- Coaching to help develop members’ publication strategies
- Coaching to help you prepare and monetize the PSH
- Access to the economic impact of bundles participation analysis tool
- Access to a dedicated staff member to provide support (up to 8 times per year)

In joining the Advanced Cohort, participants commit to (in addition to the activities listed above):
- Identifying a time for calls with collaborative staff and participating in the calls as a team
- Actively participating in Advanced Cohort calls and meetings
- Providing input on topic selection for the performance improvement sprints
- Actively participating in performance improvement sprints
- Scholars are required to submit two scholar status reports to ASA (ASA will provide a report template)
Option 3: ADVANCED COHORT with BUNDLES PAYMENT ADD-ON OPTION

Advanced Cohort participants have the exclusive opportunity to supplement that membership with the Bundles Payment Add-on offering that supports institutions entering or already participating in a bundle. This program will ensure success by providing organizational support to those participating in a voluntary/involuntary bundle.

Bundles Payment Add-on: A NEW add-on offering that positions organizations for success and supports facilities as they participate in various private and public bundle programs. Participants can expect:
- Support for evaluating which bundle(s) to enter; includes discussions regarding benefits, risk, program design and identification of opportunities across multiple episodes
- Receive support including analytics, reporting, cost management, operations design, reconciliation support, and gain sharing guidance
- Discover cost reduction opportunities compared to national top decile performance and collaborative benchmarks

Section 2: Organizational Capabilities
The following questions assess your institutions’ ability to create and implement a PSH pilot and/or expansion. Successful participation will also require support and resources drawn from beyond the immediate project team. Please indicate whether your organization has the following capabilities to support the initiative. If you answer no for any of the capabilities, please explain below.
Key Capabilities
Describe how you have:
implemented evidence-based clinical protocols
implemented evidence-based clinical pathways
monitored compliance with evidence-based protocols
accessed financial decision support and expertise
accessed performance improvement support and expertise
Participation in a clinical registry (e.g., AJRR, NSQIP, NACOR, STS, other)

Yes No
If yes, please indicate which one(s)
Ability to collect and report data on monthly basis for performance improvement?

Yes No
If in one of CMS’ Comprehensive Care for Joint Replacement (CJR) markets, ability to collect data on a monthly basis for the quality metrics required – THA/TKA complication (NQF 1550) and HCAHPS survey (NQF 0116) measures, as well as THA/ TKA voluntary patient reported outcomes and limited risk variable data.
Change Management Skills
Specify what change management skills you employ or have employed within your organization
Is your organization responsive to these strategies?
What strategies are successful and why?

Section 4: PSH Pilot Program Information (optional for Core; required for Advanced)

Please provide the following information as it relates to your existing PSH pilot(s). If you have not yet implemented a PSH program and are applying for the Advanced Cohort, please describe your implementation plan and timeline.
PSH Pilot(s)
For which procedure(s) or service line(s) have you launched PSH pilot(s)?
How many PSH cases have you completed to date and during what timeframe?
Have you implemented a payment model to support your PSH pilot(s)?

Yes No

Section 5: Scholarship Operations Success
Funding Opportunities

Scholarships will be used to offset the organization’s membership cost of participating in the PSH Learning Collaborative 2020.
Please specify the yearly amount that your organization seeks:
Explain how your organization will offset the remaining participation costs?
PSH Plans
Specify how participating in the PSH Learning Collaborative would impact and benefit your organization?
Specify how participating in the PSH Learning Collaborative would impact and benefit your patients?
What are your specific goals for participating in the PSH Learning Collaborative?
How will you measure success?
Assume you are successful in achieving your goals for participating in the PSH Learning Collaborative. What are your next steps?
Champions and Key Team Members

Successful participation in this collaborative will require commitment from anesthesiology, surgical, administrative, and IT champions, as well as project management and support staff.
Are your surgeon, anesthesiology and administrative champions that will spearhead your PSH initiative engaged?

Yes No
Please provide contact info for key members of your PSH team.

Anesthesiology Champion(s) (Required)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
Surgeon Champion(s) (Required)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
C-Suite Champion(s) (e.g., CMO, COO, CEO, CNO) (Required)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
Signature

Clear
IT Champion(s) (Optional, but encouraged)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
Project Manager (Optional, but encouraged)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
Additional Team Member (Optional, but encouraged)
Name

First Name Last Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
If you would like to list additional team members, please submit them on a separate page and email to: PSH@asahq.org
Should be Empty:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

PSH Scholarship Participant Expectations & Application

Participant Application - Due Wednesday, March 21, 2018

Organization

Primary Collaborative Contact

EHR Systems

Prior Experience

Key Capabilities

Change Management Skills

Clinical & Safety Outcomes

Internal Efficiency Outcomes

Patient Centered Outcomes

Financial Outcomes

PSH Pilot(s)

Funding Opportunities

PSH Plans

Champions and Key Team Members