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.

How Do Innovative Primary Care Practices Achieve the Quadruple Aim?

"How Do Innovative Primary Care Practices Achieve the Quadruple Aim?", by Ed Wagner, Katie Coleman, et al, presents findings from 38 high-performing practices that can help guide  practices, payers, and policy makers in understanding more specifically how improved PCMH outcomes can be achieved. It describes the execution of 8 functions in these primary care settings that collectively meet patient needs, which include managing populations, providing self-management support coaching, providing integrat

A methodology for generating a tailored implementation blueprint: an exemplar from a youth residential setting

"A methodology for generating a tailored implementation blueprint: an exemplar from a youth residential setting", authored by Cara Lewis, et al, offers a relatively low burden collaborative approach to generating a plan for implementation that leverages advances in implementation science including measurement, models, strategy compilations, and methods from other fields.

Low-value care: an intractable global problem with no quick fix

"Low-value care: an intractable global problem with no quick fix" is a May 2018 BMJ Quality & Safety editorial by Michael Parchman and John Mafi that discusses one of the most pressing problems in healthcare across the world. Low-value care raises costs, causes iatrogenic patient harm, and often interferes with the delivery of high-value care.

From Classification to Causality: Advancing Understanding of Mechanisms of Change in Implementation Science

The science of implementation has offered little toward understanding how different implementation strategies work. To improve outcomes of implementation efforts, the field needs precise, testable theories that describe the causal pathways through which implementation strategies function.

Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?

We know that primary care transformation is hard work, but the methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown.  "Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?", authored by Michael Parchman, et al, and published in the April 2018 Annals of Family Medicine, describes the recruitment approach, cost, and resources required to recruit and enroll 500 pr

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