In the United States, more than 25% of all Americans – and two out of three older adults – are estimated to have at least two chronic physical or behavioral health conditions 1. This problem affects a large number of working-age Americans, not just the elderly. The percent of the US population with multiple chronic conditions is increasing, and will continue to grow as our population ages.
A special November 2014 supplement to the journal Medical Care describes the progress and lessons learned from the Safety Net Medical Home Initiative (SNMHI). The nine papers are authored by members of the MaColl team, as well as SNMHI staff and contributors across the country. This Initiative taught us so much about caring for Medicaid and other low-income patients, and produced a library of tested implementation guides and tools to improve primary care practice—in the safety net and beyond.
We are pleased to announce the publication of the Behavioral Health Integration Implementation Guide and accompanying tools and resources, a new component of the Safety Net Medical Home Initiative’s (SNMHI’s) Patient-Centered Medical Home (PCMH) transformation resource library. Created by the MacColl team and Qualis Health, the SNMHI Behavioral Health Integration resources are free and publicly available.
Caring for Australia's Aboriginal Communities
Paul Burgess, MD has joined the MacColl Center as a 2014-2015 Commonwealth Fund Harkness Fellow from Australia. We are delighted to be collaborating with Paul for the next year.
MacColl Business Manager Sherry Lee Lauf talks about streamlining research administration processes
Getting big data
Those of us at MacColl who were lucky enough to participate in our PCT-LEAP project’s site visit process had the opportunity to spend the best part of a week getting to know the teams that worked at 30 busy primary care practices around the country. The luxury of time gave us a chance to do more than meet in conference rooms, we were able to attend team meetings and shadow not only providers and staff but also patients from the moment they arrived at the clinic to get a “c
New Project: PCORI CaRe-Align
Michael Parchman has been selected to serve on the Executive Steering Committee of a joint project of the John A. Hartford Foundation and the Patient-Centered Outcomes Research Institute (PCORI). The CaRe-Align initiative will develop a new model designed to better meet the complex care needs of older patients with multiple chronic conditions.
Home Blood Pressure Monitoring, Secure Electronic Messaging and Medication Intensification for Improving Hypertension Control: A mediation analysis.
An analysis published in March 2014 examines the role of home monitoring, communication with pharmacists, medication intensification, medication adherence and lifestyle factors in contributing to the effectiveness of an intervention to improve blood pressure control in patients with uncontrolled essential hypertension. The study intervention was delivered over a secure patient website, and used the PACIC survey to assess overall fidelity to the
Last month I attended the Complexity of Care in Primary Care Practices Conference convened by Western Washington University in Bellingham, a town 90 miles from Seattle. The MacColl Center has through the years enjoyed strong relationships with Bellingham provider teams, as much due to their innovative practices as our close physical proximity.
Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis
After the Chronic Care Model has been implemented, is it possible to compare patient and provider team views on quality of care? A new study provides the first published report exploring this question by administering the Assessment of Chronic Illness Care (ACIC) and Patient Assessment of Chronic Illness Care (PACIC) scales in 39 primary care settings.