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.
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.
Roles and Functions of Community Health Workers in Primary Care
In May 2018's "Roles and Functions of Community Health Workers in Primary Care", lead author Andrea Hartzler, PhD and MacColl colleagues Leah Tuzzio, Clarissa Hsu, and Ed Wagner discuss implications for community health worker training and clinical support in primary care.
An updated protocol for a systematic review of implementation-related measures
"An updated protocol for a systematic review of implementation-related measures" describes the process by which Cara Lewis and colleagues are working to create a repository for use by researchers, practitioners, and other stakeholders seeking to locate reliable and effective implementation strategies.
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
Implementing measurement based care in community mental health: a description of tailored and standardized methods.
How can community mental health centers better integrate evidence-based care for their patients who are experiencing depression? This new publication, by Cara Lewis, PhD, and Elena Navarro, et al, explores two different methods used in a dynamic cluster randomized trial that sought to implement measurement based care (MBC) for depression in a community behavioral health setting.
Partnering to Succeed: How Small Health Centers Can Improve Care and Thrive Under Value Based Payment
How can small health centers contribute to a sustainable primary care safety net that achieves better care, better health, lower costs, happier staff, and reduced health disparities? They can partner to succeed. Read our March 2018 publication co-authored by JSI Research &Training, Inc.: Partnering to Succeed: How small health centers can improve care and thrive under value-based payment.
Optimizing Psychological Science’s Impact on Public Health
Like any new field, dissemination and implementation faces particular challenges that need to be tackled.