In this article, Ed Wagner and colleagues describe three diverse SNMHI practices selected based on their improvement as measured by the PCMH-A (Patient-Centered Medical Home Assessment). We interviewed 2-3 leaders from the each of 3 practices seeking information about their motivations for transforming, the methods used to make changes, and challenges and facilitators.
Staff and Clinician Work-Life Perceptions after Implementing Systems-Based Improvements to Opioid Management
"Staff and Clinician Work-Life Perceptions after Implementing Systems-Based Improvements to Opioid Management", published in the September 2019 Journal of the American Board of Family Medicine, is an analysis assesses the impact of implementing the Six Building Blocks program to improve primary care's management of non-cancer patients on long-term opioid therapy. Co-authored by Michael Parchman, its focus is on the perceptions of primary care providers and staff on how this program impacted their
Organizing Care for Patients With Chronic Illness Revisited
In "Organizing Care for Patients With Chronic Illness Revisited", an August 2019 Early View commentary from the Milbank Quarterly, Ed Wagner reflects on the 23 years since the publication of our seminal Milbank article that introduced the concepts of the Chronic Care Model.
A Randomized Trial of External Practice Support to Improve Cardiovascular Risk Factors in Primary Care
A Randomized Trial of External Practice Support to Improve Cardiovascular Risk Factors in Primary Care, authored by Michael Parchman, et al, describes the main outcomes of our Heatlhy Hearts Northwest project.
Using implementation science to close the gap between the optimal and typical practice of quantitative methods in clinical science
Assessing quality improvement capacity in primary care practices
Our Healthy Hearts Northwest study brought practice facilitators to over 200 small- and mid-size primary care clinics throughout the Pacific Northwest that sought to improve cardiovascular care to their patients. To help survey the landscape in each clinic, we developed the QICA (Quality Improvement Capacity Assessment).
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.
Social and Mental Health Care Integration: The Leading Edge
A new publication by Cara C. Lewis, PhD and colleagues discusses the need for mental health care professionals to act on identified social risk factors, and in what ways. Please read "Social and Mental Health Care Integration: The Leading Edge" for more information and the full paper text.
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 Effective 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,