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Initiatives to Enhance Primary Care Delivery

View Article: PubMed Central - PubMed

ABSTRACT

Objectives:: Increasing demands on primary care providers have created a need for systems-level initiatives to improve primary care delivery. The purpose of this article is to describe and present outcomes for 2 such initiatives: the Pennsylvania Academy of Family Physicians’ Residency Program Collaborative (RPC) and the St Johnsbury Vermont Community Health Team (CHT).

Methods:: Researchers conducted case studies of the initiatives using mixed methods, including secondary analysis of program and electronic health record data, systematic document review, and interviews.

Results:: The RPC is a learning collaborative that teaches quality improvement and patient centeredness to primary care providers, residents, clinical support staff, and administrative staff in residency programs. Results show that participation in a higher number of live learning sessions resulted in a significant increase in patient-centered medical home recognition attainment and significant improvements in performance in diabetic process measures including eye examinations (14.3%, P = .004), eye referrals (13.82%, P = .013), foot examinations (15.73%, P = .003), smoking cessation (15.83%, P = .012), and self-management goals (25.45%, P = .001). As a community-clinical linkages model, CHT involves primary care practices, community health workers (CHWs), and community partners. Results suggest that CHT members successfully work together to coordinate comprehensive care for the individuals they serve. Further, individuals exposed to CHWs experienced increased stability in access to health insurance (P = .001) and prescription drugs (P = .000) and the need for health education counseling (P = .000).

Conclusion:: Findings from this study indicate that these 2 system-level strategies have the promise to improve primary care delivery. Additional research can determine the extent to which these strategies can improve other health outcomes.

No MeSH data available.


Residency Program Collaborative (RPC) program components.
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fig1-2333392814567352: Residency Program Collaborative (RPC) program components.

Mentions: Each activity offered as a part of the collaborative is designed to facilitate shared learning among participants and to equip primary care practitioners with the tools necessary to orchestrate continuous QI with their practice. By targeting residency programs, RPC prepares residents to work in an environment that supports QI and to build the primary care workforce. Further, by improving practice processes, RPC is intended to improve patient health outcomes within participating practices (see Figure 1). For additional details on the core components of the RPC, refer to the Implementation Guide for Public Health Practitioners.14


Initiatives to Enhance Primary Care Delivery
Residency Program Collaborative (RPC) program components.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4388819&req=5

fig1-2333392814567352: Residency Program Collaborative (RPC) program components.
Mentions: Each activity offered as a part of the collaborative is designed to facilitate shared learning among participants and to equip primary care practitioners with the tools necessary to orchestrate continuous QI with their practice. By targeting residency programs, RPC prepares residents to work in an environment that supports QI and to build the primary care workforce. Further, by improving practice processes, RPC is intended to improve patient health outcomes within participating practices (see Figure 1). For additional details on the core components of the RPC, refer to the Implementation Guide for Public Health Practitioners.14

View Article: PubMed Central - PubMed

ABSTRACT

Objectives:: Increasing demands on primary care providers have created a need for systems-level initiatives to improve primary care delivery. The purpose of this article is to describe and present outcomes for 2 such initiatives: the Pennsylvania Academy of Family Physicians’ Residency Program Collaborative (RPC) and the St Johnsbury Vermont Community Health Team (CHT).

Methods:: Researchers conducted case studies of the initiatives using mixed methods, including secondary analysis of program and electronic health record data, systematic document review, and interviews.

Results:: The RPC is a learning collaborative that teaches quality improvement and patient centeredness to primary care providers, residents, clinical support staff, and administrative staff in residency programs. Results show that participation in a higher number of live learning sessions resulted in a significant increase in patient-centered medical home recognition attainment and significant improvements in performance in diabetic process measures including eye examinations (14.3%, P = .004), eye referrals (13.82%, P = .013), foot examinations (15.73%, P = .003), smoking cessation (15.83%, P = .012), and self-management goals (25.45%, P = .001). As a community-clinical linkages model, CHT involves primary care practices, community health workers (CHWs), and community partners. Results suggest that CHT members successfully work together to coordinate comprehensive care for the individuals they serve. Further, individuals exposed to CHWs experienced increased stability in access to health insurance (P = .001) and prescription drugs (P = .000) and the need for health education counseling (P = .000).

Conclusion:: Findings from this study indicate that these 2 system-level strategies have the promise to improve primary care delivery. Additional research can determine the extent to which these strategies can improve other health outcomes.

No MeSH data available.