Team-based clinic redesign of opioid medication management in primary care: effect on opioid prescribing.

Team-based clinic redesign of opioid medication management in primary care: effect on opioid prescribing, published in June 2019, describes the implementation of an innovative program and study led by Michael Parchman that was designed to help small rural clinics more effectively and safely care for patients living with chronic pain.  The 6 Building Blocks approach, described in this publication, is a promising, evidence-based intervention that leverages the power of primary care practice facilitators. 

Toolkit for Clinical Quality Metric Extraction

The Toolkit for Clinical Quality Metric Extraction was created by the Healthy Hearts Northwest project as a guide for practice facilitators and primary care clinic staff in using health information technology to support quality improvement. Current as of April 2019, this toolkit was created to be used as a step-by-step guide for quality improvement reporting for any Clinical Quality Measure (CQM).  Topics include:

Developing Emerging Leaders to Support Team-Based Primary Care

Developing Emerging Leaders to Support Team-Based Primary Care, a new paper co-authored by Katie Coleman, Ed Wagner, et al, describes the12-month Emerging Leaders program from our Learning from Ambulatory Practices (LEAP) initiative.  A prototype for how interdisciplinary training targeting frontline staff might be implemented, the Emerging Leaders training included didactic content, mentorship, applied peer-to-peer learning, and personal leadership development components delivered in person and virt

Building quality improvement capacity in primary care: 16 key insights about practice facilitation

Building quality improvement capacity in primary care: 16 key insights about practice facilitation may be helpful for those interested in how we can keep rural health care providers working in the communities they live in and care about.  Over the course of four years, our Healthy Hearts NW intervention touched over 200 clinics across WA, OR, and Idaho - many of them small, independent, and rural.

Pragmatic clinical trials offer unique opportunities for disseminating, implementing, and sustaining evidence-based practices into clinical care: Proceedings of a workshop.

Pragmatic clinical trials offer unique opportunities for disseminating, implementing, and sustaining evidence-based practices into clinical care: Proceedings of a workshop., authored by Leah Tuzzio, et al, summarizes presentations about how to design and conduct pragmatic clinical trials embedded in health care systems and use dissemination and implementation strategies during the planning and conduct of projects, emphasizing the ever-changing world of care delivery and the need for