Medical Home Transformation (OC³)

The Optimizing Comprehensive Clinical Care (OC³) Program

Healthcare is undergoing a great transformation as patients, providers and payers prioritize the whole scope of care, rather than individual, disconnected services. No longer is the focus limited to a single visit with a single patient. Instead, with the passage of the Affordable Care Act of 2010, healthcare providers, including safety net health centers, are tasked to be accountable for the care they provide their entire population of patients.

Optimizing Comprehensive Clinical Care (OC³) is an 18-month program, with a curriculum designed specifically to help health centers facilitate a culture of continuous improvement and communication, and to improve your health centers patient access, office efficiency, and clinical outcomes. OCfaculty include nationally and internationally known consultants, TACHC staff, and current health center staff who share their knowledge and facilitate each cohort’s mastery of the concepts of access, office efficiency, team-based care and other patient-centered medical home (PCMH) concepts.

What Does OC³ Mean?

The OC³ culture values data for improvement and institutes organization-wide processes to enable all staff to be active participants in performance improvement activities. Health centers that participate in OC³ use the program to work toward the Institute for Healthcare Improvement’s  Quadruple Aim:  improvement of the patient experience, the clinical experience, and better outcomes through population health management while lowering per capita costs.

OC³ Faculty

How Can (OC³) Help?

Each health center develops different goals for OC3 and draws on different elements of the curriculum to inform their individual workplans. OC3 is the foundation to many of the other work activities that the center is currently working on, such as Patient-Centered/Primary Care Medical Home designation and recognition.  Health centers also set goals to improve access to appointments, improve productivity of administrative or clinical staff or refine performance in achieving clinical quality standards.  The patient-centered and team-based approach can be accomplished through methods taught in OC3, which align with the mission of health centers in a highly efficient and systematic manner.

The OC³ Learning Program

The OC3 program begins with a virtual webcast with your senior leadership staff in order to introduce them to the core tenets, responsibilities and commitments to me be made on behalf of the health center. The health center will then complete an application and submit a roster of team members.  Successful teams include clinical staff from all levels, administrative staff, supervisory staff, quality improvement, and front line staff. 

The OC³ Program will bring together interdisciplinary teams from ten to fifteen health centers as a learning community to work intensively for 18 months. Some health centers choose to have their entire quality improvement team participate in OC³, while others designate a subset of people to join the program and share their knowledge with colleagues.

During the learning year, teams will participate in (5) five face-to-face learning sessions, monthly webcasts, and scheduled one on one (1:1) individual team coaching calls. Each team is matched with a faculty coach, who provides individualized guidance and feedback throughout the year. Finally, teams have access to an OC3 Learning Portal to submit homework assignments, monthly data and reports.  In addition, there is an email listserv or digital community to share ideas, resources and to post questions with teams from other health centers. After completing the curriculum, teams remain in touch through an active alumni OC34L listserv/digital community.   

The OClearning year begins in the Fall and the curriculum is built around a series of 60 or 90-minute interactive webcasts, which take place monthly. Teams submit monthly reports to their coaches, who provide constructive feedback throughout the learning year. Five (5) face-to-face learning sessions take place in January, May, September, January, and May. These three-day learning sessions allow teams and faculty to connect and network with each other and focus on material that is best taught live in an interactive format. It is expected that at least 3-5 key team members from each team will  travel to the face-to-face learning sessions. They are considered to be the Traveling or Core Team who will lead the transformation work and be responsible for cross-training the larger team and health center staff back home. It is the responsibility of the health center core team to meet on a regular basis in order to develop their aims and discuss their progress, to collect and analyze data, as well as to communicate concepts learned through  webcasts, interactive coaching calls, and face-to-face meetings to staff.  Further, the core team will share and spread learned methods for use of data to further the OC3 principles of improving: access for patients, efficiencies for the center’s clinical system of care, and health outcomes.

For more information contact, Verne LaGrega TACHC Clinical Care Coordinator