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.
On January 31, 2014, the MacColl Center hosted its first Symposium, supported by the Group Health Foundation's Ed Wagner Endowment for Health Care Transformation. Primary Health Extension Programs: Current Models & Future Directions featured guest speakers Craig Jones, MD of the Vermont Blueprint for Health, Art Kaufman, MD from the University of New Mexico and Lyndee Knox from the Los Angeles Practice-Based Research and Resource Network.
MacColl's PCT-LEAP Emerging Leaders Program provides leadership development and mentoring to selected primary care staff members from PCT-LEAP sites, supporting them in becoming effective drivers of change in their own communities, as well as role models for successfully envisioning and creating rewarding health care careers.
“Quality improvement is not a project, it is an approach to how you do your work, and it is either continuous or not at all...we need to reestablish primary care as the foundation of American health care." - Ed Wagner
It’s a fact: the global burden of disease has shifted from infectious to chronic. The leading causes of death and disability around the world have changed from communicable diseases in children to non-communicable diseases in adults. Heart disease, chronic respiratory diseases and diabetes are on the rise in all regions except sub-Saharan Africa. If HIV/AIDS is considered a chronic infectious disease – as is increasingly the case – the tipping point becomes an avalanche.
On January 31st, we hosted the first annual MacColl Center Symposium in Seattle. Featuring guest speaker Craig Jones, MD, of the Vermont Blueprint for Health, the event brought a panel of national experts and a select group of participants together to explore ways that primary health extension programs may serve as a framework to support better care throughout our state.
A team at Cincinnati Children’s Hospital Medical Center recently conducted a quality improvement effort guided by the Chronic Care Model that is believed to be the first exclusively targeting teenagers. The initiative resulted in dramatically improved symptom control and outcomes.
The MacColl Center for Health Care Innovation selected 19 outstanding individuals for participation in the year-long Emerging Leaders program. The Leaders were nominated from exemplary primary care practices across the US and represent a diversity of clinical roles including physicians, nurses, medical assistants, and quality improvement profressionals. Participants were selected based on their demonstrated commitment to quality and enthusiastic recommendations from their colleagues.