Limits...
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.


An illustration of the community-clinical linkages in the St Johnsbury Community Health Team (CHT) model.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

fig2-2333392814567352: An illustration of the community-clinical linkages in the St Johnsbury Community Health Team (CHT) model.

Mentions: Through the work of the CHWs, the CHT model demonstrates how community-clinical linkages can support primary care providers by providing a range of services to community members as illustrated in Figure 2. In this model, APCPs, the CCT, and the Functional Health Team are overlapping elements. For additional details on the St Johnsbury CHT model, refer to the Implementation Guide for Public Health Practitioners21 and a separate cost analysis of this model.22


Initiatives to Enhance Primary Care Delivery
An illustration of the community-clinical linkages in the St Johnsbury Community Health Team (CHT) model.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

fig2-2333392814567352: An illustration of the community-clinical linkages in the St Johnsbury Community Health Team (CHT) model.
Mentions: Through the work of the CHWs, the CHT model demonstrates how community-clinical linkages can support primary care providers by providing a range of services to community members as illustrated in Figure 2. In this model, APCPs, the CCT, and the Functional Health Team are overlapping elements. For additional details on the St Johnsbury CHT model, refer to the Implementation Guide for Public Health Practitioners21 and a separate cost analysis of this model.22

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.