The opioid crisis impacts communities in every pocket of our country, and delivery systems are increasingly seeking ways of interacting with patients on long-term opioids to ensure their safety. As a result, it’s more important than ever to find effective ways to systematically support and care for those who work in primary care providers because they’re often one of the first points of contact for many patients on opioid therapy.
Excerpted from "Organizing Care for Patients With Chronic Illness Revisited", August 2019, Edward H. Wagner, Early View, Milbank Quarterly Classic.
In August 2019, the MacColl Center's Michael Parchman, MD and long-time University of WA collaborator and friend Laura-Mae Baldwin, MD were featured in a KOMO News piece about their intensive efforts to manage opioid prescribing in primary care clinics throughout the Pacific Northwest.
The clinics that participated in the study saw significant declines both in the number of patients who were using opioids for chronic pain, and among those who continued on opioids, the percent who were on higher dose opioids decreased, said lead researcher Michael Parchman.
With just a little bit of support, smaller primary care clinics can improve blood pressure care and lower the risk of patients’ cardiovascular disease, according to the newly published outcomes paper from our Healthy Hearts Northwest project. The study, “A Randomized Trial of External Practice Support to Improve Cardiovascular Risk Factors in Primary Care,” was published in the Annals of Family Medicine.
We're proud to announce the launch of the Robert Wood Johnson Foundation Safety Net Value Champions Fellowship and the selection of six clinical providers from across the United States as fellows, including a New York City emergency room physician, a Washington State pediatric nurse practitioner, and a New Mexico physician assistant.
Rural Oregonians are disproportionately impacted by cardiovascular disease, but practice coaching offers unique support.
By Michael Parchman, MD, MPH, Senior Investigator, MacColl Center for Health Care Innovation and Healthy Hearts Northwest Principal Investigator.
Imagine a primary care visit where no one takes your blood pressure. Instead, your provider looks you up and down and makes a mental note of her impression of what your blood pressure might be. Or she privately concludes in your chart that your blood pressure is likely fine because you don’t mention it as an issue during your interaction. Silly, right? And unlikely, since basing care on reliable assessments — a.k.a. “measurement-based care” — is widespread in most health care.
Experiencing joy in clinical practice and helping mitigate provider burnout has long been a research topic of interest at MacColl. Judith Schaefer, MPH, Senior Research Associate departed for her well-deserved retirement in October 2018, leaving us with ways that she found joy in her work.
1. Focus on what matters to you
What matters to you matters to you. Sometimes it’s right in front of your face and you don’t have to look for it. Focusing on what matters will give your work meaning. Your work will be deeper because it has meaning for you
Very few people with chronic conditions would know Judith Schaefer’s name, but for more than two decades she has been a major force for tuning health care systems into the patient perspective.