Models of Complex Care Management: LEAP Webinar Series #2

Multiple chronic illnesses, combined with co-existing mental/behavioral health problems, along with frailty and functional limitations pose great challenges to the work of the busy primary care team.  The “Models of Complex Care Management” webinar was recorded in January 2014 and features the work of LEAP sites in Maine, Louisiana, Texas and West Virginia. This conversation asks how to build a system that supports the care of this population? How do we identify these patients?

Changing the Culture of Care in Your Community: LEAP Webinar Series #1

First in a series of six webinars recorded for our PCT-LEAP initiative, “Changing the Culture of Care in Your Community” showcases LEAP sites that are change agents in their communities even beyond their patient population, as well as doing the work of addressing the social determinants of health in a number of venues.   We discuss the health care provider and team role in population health, and ask the question:  how do you build and sustain community partnerships that transform both health care prac

LEAP Getting Started video

Short video describing the PCT-LEAP project, featuring RWJF Senior Program Officer Maryjoan Ladden, PhD, RN, FAAN and LEAP Co-Director Margaret Flinter, PhD, APRN.  In MaryJoan Ladden's words, the LEAP Guide is "the nitty-gritty of how do you do it (deliver better primary care), getting it out there in a way that people can really practically use it."

 

Nurse navigators help Group Health patients with cancer

Watch this YouTube video to learn more about the Group Health Nurse Navigator study, which resulted in improved patient experience and reduced problems in care.  Study co-author Ed Wagner comments.

Building Blocks of Primary Care: Webinar featuring Thomas Bodenheimer MD

Thomas Bodenheimer, MD, professor at the Center for Excellence in Primary Care in the Department of Family and Community Medicine at UCSF, discusses the essential elements of primary care - the 10 "building blocks" - in a webinar produced for our PCT-LEAP project.

PBRN Workforce of the Future: Webinar recording

A July 2013 AHRQ webinar, “PBRN Workforce of the Future”, features MacColl Director Michael Parchman and Dr. Lyndee Knox of L.A. Net discussing the evolving workforce of the Practice-Based Research Network.  They focus specifically on the role of practice faciltators and research assistants in PBRN member practices in the context of quality improvement.  

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