Background: The challenge of responding to prescription opioid overuse within the United States has fallen disproportionately on the primary care clinic setting. Here we describe a framework comprised of 6 Building Blocks to guide efforts within this setting to address the use of opioids for chronic pain.
Taking Action on Overuse Action Planning Framework
The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).
Taking action on overuse: Creating the culture for change
Our team has spent the past two years developing an approach for engaging providers in reducing medical overuse. It focuses on the real-world aspects of implementing change, centering on the conditions and practices that help providers transform established practice patterns. You can read the story of the Taking Action on Overuse framework in Healthcare: The Journal of Delivery Science and Innovation.
OPCA Alternative Payment & Advanced Care Model Learning Exchange Summary
Since 2010, the Oregon Primary Care Association (OPCA) has been leading the development and implementation of an Alternative Payment Methodology (APM), in partnership with Oregon’s state Medicaid office. The purpose of the APM is to provide participating clinics with a payment approach that is detached from the face-to-face provider visit, allowing for much greater flexibility in transforming the care model to support population health.
Sustaining the Diabetes Self-Management Program: Report from an Invitational Conference Sponsored by Group Health Research Institute
The effectiveness of diabetes care hinges on both outstanding medical care and on diabetes self-management (DSM). To support DSM, researchers at Stanford University developed the Diabetes Self-Management Program (DSMP).
SNMHI 8 Change Concepts
We define "change concept" as a general idea, with proven merit and a sound scientific or logical foundation, that can stimulate specific ideas for changes that lead to improvement. The 8 Safety Net Medical Home (SNMHI) Patient-Centered Medical Home change concepts include:
How do we learn about improving health care: a call for a new epistemological paradigm
"How do we learn about improving health care: a call for a new epistemological paradigm" is a new publication co-authored by MacColl's Director Michael Parchman, MD and our colleague Rashad Massoud, MD, MPH, FACP, Director of the USAID Applying Science to Strengthen and Improve Systems Project and its predecessor, the USAID Health Care Improvement Project.
Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings
This article in the American Journal of Medical Quality describes the process utilized by collaborating organizations when developing the Behavioral Health Integration Implementation Guide and companion resources for our Safety Net Medical Home Initiative.
The Impact of Opioid Risk Reduction Initiatives on High-Dose Opioid Prescribing for Patients on Chronic Opioid Therapy
The Impact of Opioid Risk Reduction Initiatives on High-Dose Opioid Prescribing for Patients on Chronic Opioid Therapy, co-authored by Michael Parchman, explores the feasibility of reducing opioid doses in community practice.