New Project:  PCORI CaRe-Align
Michael Parchman has been selected to serve on the Executive Steering Committee of a joint project of the John A. Hartford Foundation and the Patient-Centered Outcomes Research Institute (PCORI).  The CaRe-Align initiative will develop a new model designed to better meet the complex care needs of older patients with multiple chronic conditions.  

CaRe-Align’s steering committee and advisory panels include patients and caregivers, along with clinicians and representatives from major primary and specialty provider organizations.  The project will bring together more than 50 older individuals, clinicians who care for such patients, family caregivers, and other health care stakeholders to gain their insights and perspectives on the new care model.

New Research:  Blood pressure control study shows promise in measuring CCM effect on patient blood pressure outcomes
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 intervention was delivered over a secure patient website, and used the PACIC survey to assess overall fidelity to the Chronic Care Model. 

“Home blood pressure monitoring, secure electronic messaging and medication intensification for improving hypertension control: a mediation analysis” found that web-based pharmacist case management improved blood pressure  control .  The improved outcomes  were accounted for in part through home blood pressure monitoring, e-communication with providers and associated medication intensification, with the entire effect accounted for through communications outside the office via secure messaging. 

 “We wanted to see if patients’ perceptions of their care matched the elements of the Chronic Care Model”, explains Group Health Research Institute Associate Investigator and study lead author James Ralston, MD MPH.  “This study demonstrates the sensitivity to change of the PACIC instrument in an intervention using the Chronic Care Model.”

Project Update:  PCT-LEAP
The PCT-LEAP project team just completed the organization and coding of a massive amount of data collected during last year’s site visits to 30 practices around the country, and is now using those data to develop a web-based technical assistance program (or 'Guide').

In early Fall 2014, we anticipate launching the publicly website, in the hopes that practice staff using the LEAP Guide may show greater increases in teamwork and relational coordination, role expansion, and job satisfaction.

Funded by The Robert Wood Johnson Foundation, the goals of Primary Care Team:  Learning from Effective Ambulatory Practices include the identification and dissemination of creative changes that offer the potential  for rapid adoption and replication. 

New Resource:  The Building Blocks of Primary Care Webinar
Thomas Bodenheimer, MD, professor at the Center for Excellence in Primary Care in the Department of Family and Community Medicine at UCSF discusses the essential elements of primary care - the 10 "building blocks" - in a webinar produced by our PCT-LEAP project for its Emerging Leaders program.

Dr. Bodenheimer's building blocks include four foundational elements—engaged leadership, data-driven improvement, empanelment, and team-based care—that assist the implementation of the other six building blocks—patient-team partnership, population management, continuity of care, prompt access to care, comprehensiveness and care coordination, and a template of the future.

New Resource:  Assessment of Chronic Illness Care-Prison
Adapted from our ACIC survey, the Assessment of Chronic Illness Care-Prison (ACIC-Prison) was created by a team at Yale University to assess care delivered to the prison population.