Perspectives of Patients, Clinicians, and Health System Leaders on Changes Needed to Improve the Health Care and Outcomes of Older Adults With Multiple Chronic Conditions
Intentional research design in implementation science: implications for the use of nomothetic and idiographic assessment
A First Step on the Journey to High-Quality Chronic Illness Care
A First Step on the Journey to High-Quality Chronic Illness Care. Wagner, EH. Healthc Pap. 2016;15 Spec No:62-5; discussion 97-123. The Atlantic Healthcare Collaboration conducted a quality improvement initiative to improve chronic disease prevention and management for the four Atlantic provinces and their regional health authorities. Leaders and front-line teams carried out a range of projects, each suited to the needs of that region.
Effective team-based primary care: observations from innovative practices
Effective team-based primary care: observations from innovative practices. Wagner EH, Flinter M, Hsu C, Cromp D, Austin BT, Etz R, Crabtree BF, Ladden MD. BMC Fam Pract. 2017 Feb 2;18(1):13. doi: 10.1186/s12875-017-0590-8.
Primary Care Clinic Re-Design for Prescription Opioid Management
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.