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|    | ![ | > **Chronic Care Initiative Update**          | ![ |    |
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**Chronic Care Initiative (CCI) News:**

-   **IHI Forum.** The IHS is working closely with the Institute for
    Healthcare Improvement (IHI) to bring about 300 leaders from our
    I/T/U programs to attend the 19^th^ annual National Forum on Quality
    Improvement in Health Care in Orlando, Florida on December
    9-12, 2007. The theme of the meeting is "The Energy of Many" and it
    promises to be an exciting event and a key step in increasing
    capacity and knowledge of modern improvement methodologies in the
    Indian health system..

    -   On December 9, a special morning session for Indian Health
        participants only will present basic improvement curriculum and
        orient the participants to the Forum and to the work of the
        Chronic Care Initiative.  Learning Labs will be held on Sunday
        afternoon and these half-day sessions offer specific \"how to\"
        improvement information on a range of topics.  Monday afternoon
        sessions are Minicourses.  These are full-day sessions, offering
        even more in-depth hands-on learning opportunities and
        nitty-gritty details about how to create and sustain change. 

    -   Tuesday and Wednesday are the General Conference days.  The
        two-day General Conference features four keynote presentations,
        more than 125 workshop sessions, a full resource Exhibition
        Hall, the National Forum bookstore, quality improvement
        storyboards, and many opportunities for networking.

-   **Open Door Forum.** On October 25, the Forum will focus on the
    Director's Chronic Care Initiative and highlight 3-4 of the chronic
    care pilot sites and showcase some of their progress. We are
    exploring offering continuing education credits for these events and
    web-based sessions in FY 2008.

-   **PIMC will serve as a "node" for the IHI 5 million lives
    campaign.** PIMC will both participate in the IHI Campaign to
    protect 5 million lives from medical harm and will serve as a field
    office or node for Indian Health hospitals participating in the
    campaign. This effort will support improvement work already under
    way in our hospitals (e.g., medication reconciliation and reducing
    nosocomial infections) while bringing them into the IHI community of
    improvement. It will also give us valuable experience in working
    within the "campaign" model for spread of improvements. Dr. Charlton
    Wilson is the lead for PIMC.

**IPC-IHS News:**

-   **Virtual Learning Sessions**. Learning Session 3 was held on August
    16-17 with over 100 participants in a web-based virtual learning
    session. Dr. Grim joined us to discuss his vision for the initiative
    and how it can transform our health system and to commend the
    leadership at the 14 pilot sites. He emphasized the strong need to
    involve patients and Tribal leadership is this effort and his
    commitment to supporting the efforts in place 100 percent.

-   Topics included plenary sessions and breakout sessions for
    leadership, clinical and performance and quality improvement.
    National leaders in healthcare presented on topics of significance
    as well as local pilot sites and there was great interaction and
    dialogue. Teams refined their aims, goals and work plans and are
    making excellent progress in areas such as leadership engagement,
    continuity with Provider and Care team, building capacity in staff;
    team building, optimizing the care team, community engagement,
    community assessment, process flow mapping to reduce waste and
    increase efficiencies, information system development, cultural
    focus and use of data to drive improvement.

-   This was our first web-based learning session; we hope to be able to
    use this approach to facilitate spread in our system in a
    cost-effective way. Learning session four is scheduled for November
    7-8, 2007 and will also be web-based.