A patient-centered primary care practice approach using evidence-based quality improvement: Rationale, methods, and early assessment of implementation

Journal of General Internal Medicine

Volumn 29, Issue SUPPL. 2, 2014, Pages

  Rubenstein, Lisa V ^a,b,c,h,i   Stockdale, Susan E ^a,b   Sapir, Negar ^a   Altman, Lisa ^a,b   Dresselhaus, Timothy ^d,e   Salem Schatz, Susanne ^f   Vivell, Susan ^a   Ovretveit, John ^g   Hamilton, Alison B ^a,b   Yano, Elizabeth M ^a,h  

^a VA GREATER LOS ANGELES HEALTHCARE SYSTEM   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c RAND CORPORATION   (United States)

^d VA SAN DIEGO HEALTHCARE SYSTEM   (United States)

^e UNIVERSITY OF CALIFORNIA SAN DIEGO   (United States)

^f Health Care Quality Initiatives   (United States)

^g KAROLINSKA INSTITUTE   (Sweden)

^h UNIVERSITY OF CALIFORNIA   (United States)

ⁱ Veterans Affairs Greater Los Angeles HSR and D Center for Implementation Practice and Research Support   (United States)

Author keywords

interdisciplinary leadership; logic model; patient centered medical home; primary care; quality improvement

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT; EVIDENCE BASED PRACTICE; EVIDENCE BASED PRACTICE QUALITY IMPROVEMENT; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH EDUCATION; HEALTH PROGRAM; HEALTH PROMOTION; HUMAN; INTERVENTION STUDY; LEADERSHIP; MEDICAL SOCIETY; MEDICAL STAFF; ORGANIZATIONAL STRUCTURE; OUTCOME ASSESSMENT; PATIENT CARE; PRIMARY MEDICAL CARE; PROGRAM EFFECTIVENESS; SCIENTIST; TOTAL QUALITY MANAGEMENT; VETERANS AFFAIRS PATIENT ALIGNED CARE TEAM; VETERANS HEALTH; CLINICAL TRIAL; EVIDENCE BASED MEDICINE; GOVERNMENT; MULTICENTER STUDY; PRIMARY HEALTH CARE; PROCEDURES; STANDARDS; TRENDS; UNITED STATES;

EVIDENCE-BASED MEDICINE; HUMANS; PATIENT-CENTERED CARE; PRIMARY HEALTH CARE; QUALITY IMPROVEMENT; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 84905089247     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-013-2703-y     Document Type: Article

References (50)

1. Crabtree BF, Nutting PA, Miller WL, et al. Primary care practice transformation is hard work: insights from a 15-year developmental program of research. Med Care. 2011;49(Suppl):S28-35.
2. Nutting PA, Crabtree BF, Miller WL, Stange KC, Stewart E, Jaen C. Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff (Millwood). 2011;30(3):439-445.
3. Klein S. The Veterans Health Administration: implementing patient-centered medical homes in the nation's largest integrated delivery system: The Commonwealth Fund; 2011.
4. Rubenstein LV, Meredith LS, Parker LE, et al. Impacts of evidencebased quality improvement on depression in primary care: a randomized experiment. J Gen Intern Med. 2006;21(10):1027-1035. (Pubitemid 44337730)
5. Yano EM, Rubenstein LV, Farmer MM, et al. Targeting primary care referrals to smoking cessation clinics does not improve quit rates: implementing evidence-based interventions into practice. Health services research. Jun 3 2008.
6. Rubenstein LV, Chaney EF, Ober S, et al. Using evidence-based quality improvement methods for translating depression collaborative care research into practice. Fam Syst Health J Collab Fam Healthcare. 2010;28(2):91-113.
7. Fortney J, Enderle M, McDougall S, et al. Implementation outcomes of evidence-based quality improvement for depression in VA community based outpatient clinics. Implement Sci. 2012;7:30.
8. True G, Butler AE, Lamparska BG, et al. Open access in the patient-centered medical home: lessons from the Veterans Health Administration. J Gen Intern Med. 2013;28(4):539-545.
9. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7(3):254-260.
10. Stroebel CK, McDaniel RR Jr, Crabtree BF, Miller WL, Nutting PA, Stange KC. How complexity science can inform a reflective process for improvement in primary care practices. Joint Comm J Qual Patient Safety/Joint Comm Res. 2005;31(8):438-446.
11. Rogers EM. Diffusion of innovations. New York: The Free Press; 1995.
12. Goldberg HI, Wagner EH, Fihn SD, et al. A randomized controlled trial of CQI teams and academic detailing: can they alter compliance with guidelines? Jt Comm J Qual Improv. 1998;24(3):130-142.
13. Goldzweig CL, Parkerton PH,Washington DL, Lanto AB, Yano EM. Primary care practice and facility quality orientation: influence on breast and cervical cancer screening rates. Am J Manag Care. 2004;10(4):265-272. (Pubitemid 38480796)
14. Liu CF, Hedrick SC, Chaney EF, et al. Cost-effectiveness of collaborative care for depression in a primary care veteran population. Psychiatr Serv. 2003;54(5):698-704. (Pubitemid 36752962)
15. Rubenstein LV, Fink A, Yano EM, Simon B, Chernof B, Robbins AS. Increasing the impact of quality improvement on health: an expert panel method for setting institutional priorities. Joint Comm J Qual Improv. 1995;21(8):420-432.
16. Wagner EH, Glasgow RE, Davis C, et al. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001;27(2):63-80.
17. Mills PD, Weeks WB. Characteristics of successful quality improvement teams: lessons from five collaborative projects in the VHA. Joint Comm J Qual Safety. 2004;30(3):152-162.
18. Sherwood Danz M, Hempel S, Lim Y, et al. Incorporating evidence review into quality improvement: meeting the needs of innovators. BMJ Qual Safety. 2013.
19. Averill JB. Matrix analysis as a complementary analytic strategy in qualitative inquiry. Qual Health Res. 2002;12(6):855-866.
20. Taylor-Powell E, Henert E. Developing a logic model: teaching and training guide. Madison, WI: University of Wisconsin-Extension, Cooperative Extension, Program Development and Evaluation. http://www.uwex.edu/ces/pdande/ evaluation/pdf/lmguidecomplete.pdf. Accessed April 25, 2013.
21. Bodenheimer T, Laing BY. The teamlet model of primary care. Ann Fam Med. 2007;5(5):457-461. (Pubitemid 47535978)
22. Rosland AM, Nelson K, Sun H, et al. The patient-centeredmedical home in the Veterans Health Administration. Am J Manag Care. 2013;19(7):e263-272.
23. Hollingsworth JM, Saint S, Hayward RA, Rogers MA, Zhang L, Miller DC. Specialty care and the patient-centered medical home. Med Care. 2011;49(1):4-9.
24. Evans DC, Nichol WP, Perlin JB. Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health Administration. Health Econ Pol Law. 2006;1(Pt 2):163-169.
25. Coleman K, Austin BT, Brach C,Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff (Millwood). 2009;28(1):75-85.
26. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775-1779.
27. Boonyasai RT, Windish DM, Chakraborti C, Feldman LS, Rubin HR, Bass EB. Effectiveness of teaching quality improvement to clinicians: a systematic review. J Am Med Assoc. 2007;298(9):1023-1037. (Pubitemid 47360813)
28. Mold JW, Peterson KA. Primary care practice-based research networks: working at the interface between research and quality improvement. Ann Fam Med. 2005;3(Suppl 1):S12-20. (Pubitemid 44609606)
29. Lukas CV, Holmes SK, Cohen AB, et al. Transformational change in health care systems: an organizational model. Health Care Manag Rev. 2007;32(4):309-320. (Pubitemid 350307266)
30. Ovretveit J. Understanding the conditions for improvement: research to discover which context influences affect improvement success. BMJ Qual Saf. 2011;20(Suppl 1):i18-23.
31. Ovretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Safety Health Care. 2010;19(6):490-492.
32. Nutting PA, Crabtree BF, Miller WL, Stewart EE, Stange KC, Jaen CR. Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8 Suppl 1:S45-56; S92.
33. Gittell JH, Seidner R, Wimbush J. A relational model of how highperformance work systems work. Organ Sci. 2010;21(2):490-506.
34. Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Safety. 2012;21(1):13-20.
35. Patrician PA, Dolansky M, Estrada C, et al. Interprofessional education in action: the VA Quality Scholars fellowship program. Nursing Clin North America. 2012;47(3):347-354.
36. Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in quality and safety. J Nursing Care Qual. 2013;28(1):24-32.
37. McLaughlin C, Kaluzny A. Continuous quality improvement in health care: theory, implementation, and applications. London: Jones and Bartlett Publishers International; 2004.
38. King G, Currie M, Smith L, Servais M, McDougall J. A framework of operating models for interdisciplinary research programs in clinical service organizations. Eval Prog Plan. 2008;31(2):160-173.
39. Dobbins M, DeCorby K, Twiddy T. A knowledge transfer strategy for public health decision makers. Worldviews Evidence-based Nursing/Sigma Theta Tau Int Hon Soc Nursing. 2004;1(2):120-128.
40. Dobbins M, Rosenbaum P, Plews N, Law M, Fysh A. Information transfer: what do decision makers want and need from researchers? Implement Sci. 2007;2:20.
41. Pawson R, Tilley N. Realistic evaluation. London: SAGE Publications Ltd.; 1997.
42. Fink A. Evaluation fundamentals: guiding health programs, research, and policy. Newbury Park: Sage Publications Ltd.; 1993.
43. Bamberger M, Rugh J, Mabry L. RealWorld evaluation. Thousand Oaks: SAGE Publications Ltd.; 2006.
44. Cohen D, McDaniel RR Jr, Crabtree BF, et al. A practice change model for quality improvement in primary care practice. J Healthc Manag. 2004;49(3):155-168. discussion 169-170.
45. Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT. How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. Soc Sci Med. Jul 4 2012.
46. Khodyakov D, Stockdale S, Jones A, Mango J, Jones F, Lizaola E. On Measuring Community Participation in Research. Health education & behavior: the official publication of the Society for Public Health Education. Oct 4 2012.
47. Luck J, Hagigi F, Parker LE, Yano EM, Rubenstein LV, Kirchner JE. A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care model. Implement Sci. 2009;4:64.
48. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quarterly. 2004;82(4):581-629. (Pubitemid 40143100)
49. Parker LE, Kirchner JE, Bonner LM, et al. Creating a quality-improvement dialogue: utilizing knowledge from frontline staff, managers, and experts to foster health care quality improvement. Qual Health Res. Feb 2009;19(2):229-242.
50. Parker LE, de Pillis E, Altschuler A, Rubenstein LV, Meredith LS. Balancing participation and expertise: a comparison of locally and centrally managed health care quality improvement within primary care practices. Qual Health Res. Nov 2007;17(9):1268-1279. (Pubitemid 350001778)