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Figure 1. Simplified logic model of the NHPC to reduce disparities

The National Health Plan Collaborative: Overview of Its Origins, Accomplishments, and Lessons Learned

Figure 1. Simplified logic model of the NHPC to reduce disparities (Text Description)

Flowchart showing the logic model of the NHPC. Top level text: Firm Interest in Disparities leads to AHRQ and RWJF Convene, Negotiate, which leads to Join Collaborative, Make Commitments, which leads to Become Part of Multifirm Effort. After this step, there are three possibilities. The first is Complex Collective Structure May Influence Individual Firm Action, which leads back to Firm Interest in Disparities and restarts the process. The second is Enhanced Visibility, Support. The third involves five steps that connect in various ways.

The next level titled: Become Part of Multifirm Effort leads directly to all five steps. The first step on the left is RAND TA, which along with Exposure to Other Plans, leads to the next step, Assess/Develop/Improve Data on Disparities, which leads to the third step, Firms Identify and Pilot Interventions Appropriate to Their Context. On the right, CHCS/IHI TA and Exposure to Other Plans lead to Staff Participate in Collaborative to Learn About/Develop Effective Interventions, which leads to Firms Identify and Pilot Interventions Appropriate to Their Context. That step, along with Exposure to Other Plans, leads to Firms Adopt/Test Any/All of the following: Overall Policy/Procedure Change, Specific Clinical Interventions with Providers, Specific Clinical Interventions with Patients, Reallocation of Resources to Enhance Support to Reducing Disparities.

That step leads to Firms Review Results from Efforts, which follows three paths. In the first, Data on Disparities and Outcomes come from Rand TA and lead back to Firms Adopt/Test various items, as well as to Firms Share At Least Some Results, Measures with Others. In the second, CHCS/IHI TA, Learning from Others leads to Firms Share At Least Some Results, Measures with Others. The third is Firms Share At Least Some Results, Measures with Others, which leads to Data on Disparities and Outcomes coming from Rand TA. After firms share results, there are two possibilities. The first is Firms Continue to Make and Measure Improvements in Disparities, which leads to Reduced Racial and Ethnic Disparities as Quality Improves, which leads to Knowledge of How to Reduce Disparities Grows and Spreads More Widely. The second is Experience Used to Create Toolkits on Best Practices. This experience comes from RAND, CHCS, IHI, and GMMB. After that, Knowledge of How to Reduce Disparities Grows and Spreads More Widely, which leads to Reduced Racial and Ethnic Disparities as Quality Improves. A dashed line after Firms Share At Least Some Results, Measures with Others indicates the end of the formal collaborative.

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Current as of September 2009
Internet Citation: Figure 1. Simplified logic model of the NHPC to reduce disparities: The National Health Plan Collaborative: Overview of Its Origins, Accomplishments, and Lessons Learned. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/nhpceval/fig1txt.html