Primary Care Clinic Re-Design for Prescription Opioid Management

Primary Care Clhnic Re-Design for Prescription Opioid Management

Background: The challenge of responding to prescription opioid overuse within the United States has fallen disproportionately on the primary care clinic setting. Here we describe a framework comprised of 6 Building Blocks to guide efforts within this setting to address the use of opioids for chronic pain.

Taking Action on Overuse Action Planning Framework

Taking Action on Overuse Action Planning Framework

The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).

Taking action on overuse: Creating the culture for change

Our team has spent the past two years developing an approach for engaging providers in reducing medical overuse. It focuses on the real-world aspects of implementing change, centering on the conditions and practices that help providers transform established practice patterns. You can read the story of the Taking Action on Overuse framework in Healthcare: The Journal of Delivery Science and Innovation.

OPCA Alternative Payment & Advanced Care Model Learning Exchange Summary

OPCA APACM Learning Exchange report

Since 2010, the Oregon Primary Care Association (OPCA) has been leading the development and implementation of an Alternative Payment Methodology (APM), in partnership with Oregon’s state Medicaid office. The purpose of the APM is to provide participating clinics with a payment approach that is detached from the face-to-face provider visit, allowing for much greater flexibility in transforming the care model to support population health.

How do we learn about improving health care: a call for a new epistemological paradigm

"How do we learn about improving health care: a call for a new epistemological paradigm" is a new publication co-authored by MacColl's Director Michael Parchman, MD and our colleague Rashad Massoud, MD, MPH, FACP, Director of the USAID Applying Science to Strengthen and Improve Systems Project and its predecessor, the USAID Health Care Improvement Project.