scholarly journals REDUCING HOSPITAL ADMISSIONS: SMALL PRIMARY CARE PRACTICES SHINE IN NATIONAL STUDY

2014 ◽  
Vol 12 (6) ◽  
pp. 578-579
Author(s):  
S. Porter
Keyword(s):  
Primary Care ◽  
Hospital Admissions ◽  
National Study ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Clinician Perspectives on the Benefits of Practice Facilitation for Small Primary Care Practices

2019 ◽  
Vol 17 (Suppl 1) ◽  
pp. S17-S23 ◽  
Author(s):  
Erin S. Rogers ◽  
Allison M. Cuthel ◽  
Carolyn A. Berry ◽  
Sue A. Kaplan ◽  
Donna R. Shelley
Keyword(s):  
Primary Care ◽  
Practice Facilitation ◽  
Small Primary ◽  
Clinician Perspectives ◽  
Care Practices ◽  
Primary Care Practices

Small Primary Care Practices Face Four Hurdles—Including A Physician-Centric Mind-Set—In Becoming Medical Homes

2012 ◽  
Vol 31 (11) ◽  
pp. 2417-2422 ◽  
Author(s):  
Paul A. Nutting ◽  
Benjamin F. Crabtree ◽  
Reuben R. McDaniel
Keyword(s):  
Primary Care ◽  
Medical Homes ◽  
Small Primary ◽  
Care Practices ◽  
Mind Set ◽  
Primary Care Practices

scholarly journals Nurse perspectives on the implementation of routine telemonitoring for high-risk diabetes patients in a primary care setting

2016 ◽  
Vol 18 (01) ◽  
pp. 3-13 ◽  
Author(s):  
Bonnie M. Vest ◽  
Victoria M. Hall ◽  
Linda S. Kahn ◽  
Arvela R. Heider ◽  
Nancy Maloney ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Real World ◽  
Hospital Admissions ◽  
Lessons Learned ◽  
Diabetic Patients ◽  
Structured Interviews ◽  
Economic Context ◽  
Care Practices ◽  
Primary Care Practices

Aims The purpose of this qualitative evaluation was to explore the experience of implementing routine telemonitoring (TM) in real-world primary care settings from the perspective of those delivering the intervention; namely the TM staff, and report on lessons learned that could inform future projects of this type. Background Routine TM for high-risk patients within primary care practices may help improve chronic disease control and reduce complications, including unnecessary hospital admissions. However, little is known about how to integrate routine TM in busy primary care practices. A TM pilot for diabetic patients was attempted in six primary care practices as part of the Beacon Community in Western New York. Methods Semi-structured interviews were conducted with representatives of three TM agencies (n=8) participating in the pilot. Interviews were conducted over the phone or in person and lasted ~30 min. Interviews were audio-taped and transcribed. Analysis was conducted using immersion-crystallization to identify themes. Findings TM staff revealed several themes related to the experience of delivering TM in real-world primary care: (1) the nurse–patient relationship is central to a successful TM experience, (2) TM is a useful tool for understanding socio-economic context and its impact on patients’ health, (3) TM staff anecdotally report important potential impacts on patient health, and (4) integrating TM into primary care practices needs to be planned carefully. Conclusions This qualitative study identified challenges and unexpected benefits that might inform future efforts. Communication and integration between the TM agency and the practice, including the designation of a point person within the office to coordinate TM and help address the broader contextual needs of patients, are important considerations for future implementation. The role of the TM nurse in developing trust with patients and uncovering the social and economic context within which patients manage their diabetes was an unexpected benefit.

scholarly journals Medical Home Implementation in Small Primary Care Practices: Provider Perspectives

2016 ◽  
Vol 29 (6) ◽  
pp. 767-774 ◽  
Author(s):  
G. Gimm ◽  
J. Want ◽  
D. Hough ◽  
T. Polk ◽  
M. Rodan ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Home ◽  
Provider Perspectives ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Cost-effectiveness of depression case management in small practices

2013 ◽  
Vol 202 (6) ◽  
pp. 441-446 ◽  
Author(s):  
Jochen Gensichen ◽  
Juliana J. Petersen ◽  
Michael Von Korff ◽  
Dirk Heider ◽  
Steffen Baron ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Case Management ◽  
Controlled Trial ◽  
Cost Effective ◽  
Control Group ◽  
Significant Difference ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

BackgroundCase management undertaken by healthcare assistants in small primary care practices is effective in improving depression symptoms and adherence in patients with major depression.AimsTo evaluate the cost-effectiveness of depression case management by healthcare assistants in small primary care practices.MethodCost-effectiveness analysis on the basis of a pragmatic randomised controlled trial (2005-2008): practice-based healthcare assistants in 74 practices provided case management to 562 patients with major depression over 1 year. Our primary outcome was the incremental costeffectiveness ratio (ICER) calculated as the ratio of differences in mean costs and mean number of qualityadjusted life-years (QALYs). Our secondary outcome was the mean depression-free days (DFDs) between the intervention and control group at 24-month follow-up. The study was registered at the International Standard Randomised Controlled Trial Number Registry: ISRCTN66386086.ResultsIntervention v. control group: no significant difference in QALYs; significantly more DFDs (mean: 373 v. 311, P<0.01); no significant difference in mean direct healthcare costs (€4495 v. €3506, P = 0.16); considerably lower mean indirect costs (€5228 v. €7539, P = 0.06), resulting in lower total costs (€9723 v. €11 045, P = 0.41). The point estimate for the cost-utility ratio was €38 429 per QALY gained if only direct costs were considered, and ‘dominance’ of the intervention if total costs were considered. Yet, regardless of decision makers' willingness to pay per QALY, the probability of the intervention being cost-effective was never above 90%.ConclusionsIn small primary care practices, 1 year of case management did not increase the number of QALYs but it did increase the number of DFDs. The intervention was likely to be cost-effective.

scholarly journals Coaching Small Primary Care Practices to Use Patient Portals

2019 ◽  
Vol 17 (Suppl 1) ◽  
pp. S83-S83 ◽  
Author(s):  
Lauren Gritzer ◽  
Marsha Davenport ◽  
Michael Dark ◽  
Niharika Khanna
Keyword(s):  
Primary Care ◽  
Patient Portals ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices

2021 ◽  
Vol 19 (6) ◽  
pp. 499-506
Author(s):  
Katie F. Coleman ◽  
Chloe Krakauer ◽  
Melissa Anderson ◽  
LeAnn Michaels ◽  
David A. Dorr ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Clinical Performance ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices
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