Initiatives to Enhance Primary Care Delivery: Two Examples from the Field

Details

• Alternative Title:
  Health Serv Res Manag Epidemiol
• Personal Author:
  Losby, Jan L. ; House, Marnie J. ; Osuji, Thearis ; O'Dell, Sarah Abood ; Mirambeau, Alberta M. ; Elmi, Joanna ; Chappelle, Eileen ; Schlueter, Dara F.
• Description:
  Objectives
  
  Increasing demands on primary care providers have created a need for systems-level initiatives to improve primary care delivery. The purpose of this paper is to describe and present outcomes for two 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
  
  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 exams (14.3%, p=0.004), eye referrals (13.82%, p=0.013), foot exams (15.73%, p=0.003), smoking cessation (15.83%, p=0.012), and self-management goals (25.45%, p=0.001).
  
  Conclusion
  
  Findings from this study indicate that these two 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.
  
  
• Subjects:
  Article Case Study Community Health Workers Medical Residents Primary Care Program Evaluation Quality Improvement
• Source:
  Health Serv Res Manag Epidemiol. 2
• Pubmed ID:
  25866833
• Pubmed Central ID:
  PMC4388819
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ed66623442b5e0f9d29274aed23a1955b66db90db11a66177840e202abde6d83
• Download URL:
  https://stacks.cdc.gov/view/cdc/30371/cdc_30371_DS1.pdf
• File Type:
  [PDF - 892.43 KB ]