Developing and Running a Primary Care Practice ...

Developing and Running a Primary Care Practice Facilitation Program: A How-to Guide

Agency for Healthcare Research and Quality Advancing Excellence in Health Care

AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of health care, reduce its cost, address patient safety and medical errors, and broaden access to essential services. AHQR sponsors and conducts research that provides evidence-based information on health care outcomes; quality; and cost, use, and access. The information helps health care decisionmakers--patients and clinicians, health system leaders, and policymakers--make more informed decisions and improve the quality of health care services.

Developing and Running a Primary Care Practice Facilitation Program: A How-to Guide

Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850

Authors: Lyndee Knox, LA Net Erin Fries Taylor, Mathematica Policy Research Kristin Geonnotti, Mathematica Policy Research Rachel Machta, Mathematica Policy Research Jung Kim, Mathematica Policy Research Jessica Nysenbaum, Mathematica Policy Research Michael Parchman, Agency for Healthcare Research & Quality

AHRQ Publication No. 12-0011 December 2011

This report is based on research conducted by Mathematica Policy Research under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA290200900019I).

The findings and conclusions in this document are those of the author(s), who are responsible for its content and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. This document is in the public domain and may be used and reprinted without permission except those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the specific permission of copyright holders.

Suggested Citation: Knox L, Taylor EF, Geonnotti K, Machta R, Kim J, Nysenbaum J, Parchman, M. Developing and Running a Primary Care Practice Facilitation Program: A How-to Guide (Prepared by Mathematica Policy Research under Contract No. HHSA290200900019I TO 5.) AHRQ Publication No. 12-0011. Rockville, MD: Agency for Healthcare Research and Quality. December 2011.

Acknowledgments

This guide was a collaborative effort of many individuals. The Agency for Healthcare Research and Quality (AHRQ), in coordination with Lyndee Knox of LA Net (who served as the facilitator) and Mathematica Policy Research, convened an expert working group (listed below) to develop the guide. Through a series of telephone meetings, group members provided information and insights from their own experiences in developing and running PF programs and shared numerous tools and resources. The willingness of working group members to share their expertise and lend their time was critical to the development of this guide. Our colleagues at AHRQ--including Drs. David Meyers and Janice Genevro--provided valuable direction, guidance, and feedback throughout this guide's development. We are grateful to those who reviewed the manual and provided thoughtful comments and suggestions, including: Sajid Ahmed, HITEC-LA; Chet Fox, M.D., Upstate New York Practice Based Research Network; Vanesscia John, M.S.W, M.P.A., California Primary Care Association; Vanessa Nguyen, M.P.H., LA Net; Richard Seidman, M.D., L.A. Care Health Plan; Martin Serota, M.D., AltaMed Health Services; Kimbra Wells Metz, M.H.A., Washington Academy of Family Physicians; and Diana Traje, M.P.H. LA Net. Marsha Gold and Eugene Rich at Mathematica provided a thoughtful peer review, Molly and Jim Cameron provided superb editing, and Felita Buckner offered excellent secretarial support. Debbie Peikes supplied valuable high-level guidance in her role as director of the large set of tasks under which this work was supported.

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Contributors

Carolyn Allshouse, Family Voices of Minnesota Cheryl Aspy, Ph.D., University of Oklahoma Health Sciences Center Thomas Bodenheimer, M.D., M.P.H., San Francisco General Hospital Bonni Brownlee, M.H.A., Qualis Health Caroline Carter, M.S., L.S.W., Center for Health Care Research & Policy, MetroHealth Medical Center Katie Coleman, M.S.P.H., Group Health Cooperative Allen Dietrich, M.D., Dartmouth Medical School Darren A. DeWalt, M.D., M.P.H, University of North Carolina School of Medicine Perry Dickinson, M.D., University of Colorado Elizabeth Foley, M.B.A., Medical Care Development Brenda Fraser, M.Sc., Quality Improvement and Innovation Partnership Allyson Gottsman, Health TeamWorks Joanne Gutowsky, Michigan Primary Care Consortium (MPCC) William Hogg, M.D., Department of Family Medicine, University of Ottawa Craig Jones, M.D., Vermont Blueprint for Health Ann Lefebvre, M.S.W., CPHQ, NC AHEC Program at University of North Carolina at Chapel Hill Clare Liddy, M.D., Department of Family Medicine, University of Ottawa Jeanne McAllister, B.S.N., M.S., M.H.A., Center for Medical Home Improvement Marly McMillen, M.B.A., The Dochterman Group Gail McNutt, M.D., Department of Veterans Affairs James Mold, M.D., University of Oklahoma College of Medicine Regina Neal, Primary Care Development Corporation Amanda Parsons, M.D., M.B.A., New York City Department of Health & Mental Hygiene Joan Pernice, R.N.C., M.S., Massachusetts League of Community Health Centers Diane Powers, M.A., University of Washington Mary Ruhe, R.N., M.P.H., Case Western Reserve University Constance S. Sixta, Ph.D., R.N., M.B.A., Sixta Consulting Inc. Jenney Samuelson, Vermont Blueprint for Health Lisa Watkins, Vermont Blueprint for Health

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