Practice Transformation in the Safety Net Medical Home Initiative: A Qualitative Look

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.

Function of the Medical Team Quarterback: Patient, Family, and Physician Perspectives on Team Care Coordination in Patient- and Family-Centered Primary Care

Patient- and family-centered care (PFCC) literature is growing, but few reports present patient, caregiver, and practitioner perspectives about care coordination in a team-based model.  "Function of the Medical Team Quarterback: Patient, Family, and Physician Perspectives on Team Care Coordination in Patient- and Family-Centered Primary Care", published in the December 2019 issue of The Permanente Journal,  investigates the function of the medical team quarter

Pragmatic measures for implementation research: development of the Psychometric and Pragmatic Evidence Rating Scale (PAPERS)

Published in December 2019, the Pragmatic measures for implementation research: development of the Psychometric and Pragmatic Evidence Rating Scale (PAPERS) offers a way for survey creators to assess both the pragmatic and psychometric qualities of their instruments. Co-authored by Cara C. Lewis, PhD, Caitlin Dorsey, BAH, and Kayne Mettert, BAH.

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

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).

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