Health care transformation calls for patient engagement in quality improvement (PEQI), yet practice participation remains low. This pilot study of 8 primary care clinics at 7 statewide locations sought to determine the most effective strategies for disseminating a previously successful single-system PEQI intervention. Qualitative data were obtained through site visits, interviews, observations, and journaling. The… Read more »
Protocols encourage healthcare team communication before and after primary care visits to support better patient care. Physical clinic environments may influence these behaviors, but limited research has been performed. The UW PATH collaborative explored how two different primary care clinic physical layouts (onstage/offstage and pod-based [PB] designs) influenced pre- and postvisit team experiences and perceptions.
UW Primary Care Academics Transforming Healthcare (PATH) collaborative was featured in an American Academy of Family Physicians (AAFP) news article highlighting their recently published article titled “A Simple Framework for Weighting Panels Across Primary Care Disciplines.” Read the AAFP article and interview with co-author Dr. Sandra Kamnetz here.
Effective clinical teams are considered essential to the production of high-value systems of care particularly within primary care. The clinical microsystems framework is one approach to training primary care teams how to engage in quality improvement activities. From 2008 to 2014, a Microsystems approach was implemented with 58 primary care teams at a large Midwestern… Read more »
It is difficult for primary care physicians to identify patients on their panel, and workloads can differ based on patient variation. To alleviate these issues, the UW PATH collaborative developed and applied a utilization-based weighting system to determine physicians’ panels in a way that accounts for patient complexity using sociodemographic factors. They measured empanelment before… Read more »
In a recent study, the PATH collaborative examined the 2013 results for 220 ACOs from the Medicare Shared Savings Program to assess key characteristics associated with generating savings. They found that ACOs with higher baseline expenditures were significantly more likely to generate savings than lower cost ACOs, but that the average quality scores for ACOs that reported… Read more »
Summary The mission of the UW Health PATH collaborative is to bridge primary care clinical transformation and rigorous scientific study in order to improve our health system for the benefit of patients and communities. We will disseminate learnings locally and nationally, emphasizing scholarly contributions, in order to enable effective implementation. We are a multidisciplinary coalition… Read more »
To become learning health systems, academic health centers seek to understand performance across the continuum of care and use that information to achieve continuous improvements. Following implementation changes, system-level performance at an academic health center improved in patient satisfaction, population health screenings, improvement education, and patient engagement.
Primary care departments at academic health centers face many challenges in achieving the Triple Aim. This article by the UW PATH collaborative describes the collaboration they formed between the departments of internal medicine, general pediatrics and adolescent medicine, and family medicine to redesign primary care in pursuit of the Triple Aim. A primary care leadership… Read more »
In this article by the UW PATH collaborative, investigators describe a novel program that funds ambulatory care improvements through a partnership between an academic health system and an insurance firm. The program is designed as a competitive grant program and both organizations benefit from completed improvement projects. Factors contributing to success as well as lessons learned are… Read more »
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