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team-based care

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2018 Adolescent Immunization Best Practices Summit -- Wrap-Up Report

...described best practices to improve adolescent immunization rates by undertaking a quality improvement program or project, implementing a team-based approach, and developing a sustainability plan for the practice. Key Objectives During the summit, participants presented...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/adolescent-immunizations-summit/wrap-up.pdf

A Team-based Approach to Integrating Cost-of-medication Conversations Into Primary Care

...Appendix B One Pager A Team-based Approach to Integrating Cost-of-medication Conversations into Primary Care Principal Investigator: Jennifer Carroll, MD, MPH Co-Principal Investigator: Kevin Fiscella, MD, MPH Funder: Robert Wood Johnson Foundation in collaboration with Avalere...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/cost-of-medication.pdf

AAFP Adolescent Immunization Best Practices Summit

May 17, 2018 - The American Academy of Family Physicians (AAFP) is recruiting 10 family physicians for the Adolescent Immunization Best Practices Summit.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/immunizations/imms-summit.html

AAFP National Research Network (NRN)

Jun 12, 2018 - Discover AAFP's National Research Network, a resource for primary care research in practice-based settings.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn.html

AAFP NRN Newsletter -- National Research Network

Feb 19, 2019 - x

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/news.html

Addressing Social Determinants of Health in Primary Care: Team-Based Approach for ...

...Addressing Social Determinants of Health in Primary Care team-based approach for advancing health equity page 2 © 2018 american academy of family physicians table of contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/team-based-approach.pdf

Advances in the Prevention and Control of Healthcare Associated Infections (HAIs)

For over a decade, the Agency for Healthcare Research and Quality (AHRQ) has invested in research and implementation projects to prevent healthcare-associated infections (HAIs) in diverse health care settings. AHRQ’s commitment to HAI prevention has been expressed in activities within ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/brandt-advances-prevention-control-hais.pdf

Applying Six Sigma to Pain Management

Primary care practices would benefit from improved understanding of how to make and sustain fundamental changes in their delivery systems. An improvement collaborative project was conducted in 2005 to not only improve the quality of depression care but help participating practices adopt...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ImrpovDepCare-JQPSMain-2.pdf

Care Coordination - Enabled by Health IT -- National Research Network Studies

Jun 23, 2014 - Find out more information about this study to better understand the feasibility and perceived value of electronic health record (EHR) system functions that support care coordination.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/care-coordination.html

Case Study of a Primary Care-Based Accountable Care System Approach to Medical Home ...

We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/1phillipsjacm2010.pdf

Chronic Kidney Disease Guideline Implementation in Primary Care

The TRANSLATE CKD study is an ongoing national, mixed-methods, cluster randomized control trial that examines the implementation of evidence-based guidelines for CKD into primary care practice. A complete study protocol has been published elsewhere. Thirty-eight primary care practices ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/vest-ckd-guidelines-2015.pdf

Clinician Suspicion of an Alcohol Problem

n clinical practice, detection of alcohol problems often relies on clinician suspicion instead of using a screening instrument. We assessed the sensitivity, specificity, and predictive values of clinician suspicion compared with screening-detected alcohol problems in patients.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/clinician-suspicion-alcohol-problem.pdf

Communication is the Key to Success in Pragmatic Clinical Trials in Practice-based ...

This discussion is based on extensive experience of 2 groups who have worked collaboratively on several large, federally funded, pragmatic trials in a practice-based research network. The goal of this article is to summarize lessons learned to facilitate the work of other research teams.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Bertram_Communication%20in%20PBRN%20studies_JABFM_2013.pdf

Connect with the AAFP NRN at NAPCRG 2019!

...Need of Coordination of Care Sunday, Nov. 17th 11-12:30pm > Oral Presentations • Room - Pier 3: Patient and Provider Perspectives of an Intervention De- signed to Foster a Shared Under- standing of Chronic Pain. > Collab- oration w/Dr. Abagail Rolbiecki and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/nrn19-napcrg.pdf

Demonstration of the Health Literacy Universal Precautions Toolkit

...J Ambulatory Care Manage Vol. 39, No. 3, pp. 199-208 Copyright C© 2016 Wolters Kluwer Health, Inc. All rights reserved. Demonstration of the Health Literacy Universal Precautions Toolkit Lessons for Quality Improvement Natabhona M. Mabachi, PhD, MPH; Maribel Cifuentes, RN; Juliana...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/mabachi_healthliteracyprecautions_jacm_2016.pdf

Effect of Preventive Messages Tailored to Family History on Health Behaviors: The ...

The study was a cluster-randomized clinical trial that included 41 primary care practices, the majority in the Midwest, using Family Healthware, a self-administered, Web-based tool that assesses familial risk for the diseases and provides personalized risk-tailored messages. Patients in...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ruffinfht11preventivemessages.pdf

Establishing the Collaborative Care Research Network: A Description of Initial ...

Collaborative care has increased dramatically in the past decade, yet the variability in collaborative strategies and the diversity of settings in which collaboration is being implemented make it difficult to assess quality and outcomes. Therefore, three aims were addressed in the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/SieberCCRNDemographics2012.pdf

Family Physician’s Knowledge, Beliefs, and Self-reported Practice Patterns Regarding ...

Family physicians have the potential to make a major impact on reducing the burden of cardiovascular disease through the optimal assessment and management of hyperlipidemia. We were interested in assessing the knowledge, beliefs, and self-reported practice patterns of a representative ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/HyperlipidemiaManuscript.pdf

Fidelity Versus Flexibility Translating Evidence-Based Research into Practice

Understanding the process by which research is translated into practice is limited. This study sought to examine how interventions change during implementation. Changes are common when interventions are implemented into practice settings. The translation of evidence into practice will ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/P4HCohen.pdf

Global Health Education for Medical Students and Residents

Mar 22, 2016 - Understand what to look for in your during your training to nurture your interest in using you family medicine skills for global health.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/education.html

Guide to social needs screening

...a person’s: • Access to medical care • Access to nutritious foods • Access to clean water and functioning utilities (e.g., electricity, sanitation, heating, and cooling) • Early childhood social and physical environment, including child care • Education and health literacy •...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/hops19-physician-guide-sdoh.pdf

Happy World Family Doctor Day!

May 15, 2018 - The AAFP celebrates World Family Doctor Day, a day to highlight the contributions of family doctors in health care around the world.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/wfdd.html

Health Literacy

...Effective Health Literacy in Primary Care Review Discussion Questions/Guide 2 Defining Health Literacy Health Literacy is: The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/health-literacy.pptx

Honor Health - Final Report

...of Arizona. Using a team-based approach to deliver patient-centered healthcare with a focus on disease prevention, the HonorHealth Neighborhood Outreach Access to Health (NOAH) Family Medicine Residency clinic advocates for patients via a three-level care coordination...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/Mini-Grants/honor-health-final-report-2015.pdf

Increasing Adult Pneumococcal Immunization Rates Through AAFP State Chapters

Mar 8, 2019 - The American Academy of Family Physicians (AAFP) and Pfizer Independent Grants for Learning and Change (IGLC) grants are being utilized to support quality improvement (QI) initiatives that will increase adult pneumococcal vaccination rates through three AAFP state chapters: Kansas, ...

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/immunizations/pneumococcal-grant.html

Inducing Sustainable Improvement in Depression Care in Primary Care Practices

Improving primary care depression care is costly and challenging to sustain. The feasibility and potential success of a modified improvement collaborative model to create sustained improvements in depression care was assessed. Sixteen practices from the American Academy of Family ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ImpDepCareNease.pdf

Integrating Cost-of-Medication Conversations into Primary Care -- National Research ...

May 18, 2017 - Cost of Care project

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/costofcare.html

International Efforts to Reduce Disparities

...Primary Care Means Checking More than Blood Pressure. Learning Objectives After participating in this learning module, the participant will be able to: 1. Describe the critical role of primary care in global health. 2. Provide examples of approaches to patient-centered care...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/health-equity-toolkit/hops19-econ-international.pdf

Involving both a physician and a non-physician as coleaders enables improvement teams ...

Making the kind of improvement changes necessary to move toward a patient-centered medical home will continue to challenge small, independent primary care practices. Here we describe further analysis of a successful program to understand the roles of coleaders of a change management ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/6ittakestwojabfm2010.pdf

Managing Patient Populations in Primary Care: Points of Leverage

Common quality metrics may represent the quality of care for large populations; however, they do not adequately represent quality in individual primary care settings, especially as stand-alone indices. Using discreet threshold values to measure quality in primary care may result in ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/EidusMgnPtPopulations2012.pdf

Missed opportunities for improving practice performance in adult immunizations: a ...

...outcome (variable) for research and quality improvement projects aimed to increase adult immunization recommendation and uptake in primary care. Keywords: Missed opportunity, Meta-narrative literature review, Adult immunizations Background Developing and providing...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/loskutova-missed-opportunities.pdf

Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered ...

Many primary care practices are moving toward the patient-centered medical home (PCMH) model and increasingly are offering payment incentives linked to PCMH changes. Despite widespread acceptance of general PCMH concepts, there is still a pressing need to examine carefully and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/BittonHamsterWheelPCMH2012.pdf

Office Champions FQHC Project - Final Report

...with their populations. Studies indicate that more than 40% of FQHCs’ patients use tobacco, according to the Mississippi Primary Health Care Association and the Mississippi State Department of Health Office of Tobacco Control FQHC Tobacco Project. FQHC patients are more likely to be...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/office-champions-tobacco-final-report.pdf

Office Champions Tobacco Cessation Behavioral Health Facts -- Tobacco and Nicotine

Jun 9, 2015 - Participate in the Office Champions Tobacco Cessation Behavioral Health project.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/tobacco-nicotine/office-champions/behavioral-health.html

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/loskutova_citiesforlife_jabfm_2016.pdf

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/loskutova_citiesforlife_jabfm_2016.pdf

Preparing for Global Health Work as a Family Physician

Mar 22, 2016 - Learn how family physicians are uniquely prepared to make a difference in global health, and discover how physicians can become prepared to serve.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/prepare.html

Protocol for the Asthma Tools study

Data from this pivotal pragmatic study are intended to demonstrate the importance of linking assessment of asthma and management tools to improve asthma-related patient outcomes. The study is an effectiveness trial done in real-world PBRN practices using patient-oriented outcome ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/yawn-asthmatoolspbrntrial-pragmaticresearch-2013.pdf

Publications of the AAFP NRN -- National Research Network

Apr 13, 2018 - Explore the listing of AAFP NRN publications.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/publications.html

Screenin for Sexually Transmitted Infections - Practice Manual

...Family physicians and other primary care providers are in an ideal position to help address the low- screening rates for STIs and aid in early detection of these diseases, thereby preventing transmission and future complications for patients who are affected. In the 2019 AAFP...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/sti/hops19-sti-manual.pdf

sdoh-guide.pdf

...a person’s: • Access to medical care • Access to nutritious foods • Access to clean water and functioning utilities (e.g., electricity, sanitation, heating, and cooling) • Early childhood social and physical environment, including child care • Education and health literacy •...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/sdoh-guide.pdf

Spring 2019 -- National Research Network

Feb 19, 2019 - x

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/news/spring2019.html

Strategies for Planning and Launching PBRN Research Studies: A Project of the Academy ...

Research conducted in a practice-based research network (PBRN) differs from other multisite research and presents particular planning challenges. The American Academy of Family Physicians National Research Network (AAFP NRN) has developed a number of procedures used for planning and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/pbrnplanningstrategiesinjabfm2007.pdf

Tar Wars Program Guide

...in 1988 by Jeff Cain, MD, and Glenna Pember, from Hall of Life, a division of the Denver Museum of Natural History, and Doctors Ought to Care (DOC). Since its inception, Tar Wars has touched the lives of more than 10 million children worldwide. The lesson plan in this guide...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/tar_wars/program-guide.pdf

The EveryONE Project Tool Kit

Aug 28, 2018 - Find team-based, patient-based, and community-based tools to address social determinants of health in your practice.

Patient Care : Social Determinants of Health

https://www.aafp.org/patient-care/social-determinants-of-health/everyone-project/eop-tools.html

Tobacco%20Mini-Grant%20Application%20FINAL.pdf

...• Develop and implement an innovative team-based office practice model to address tobacco prevention and/or cessation. • Create a project on how to integrate tobacco prevention/cessation into family physician office work flow and include electronic health record integration....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/Mini-Grants/Tobacco%20Mini-Grant%20Application%20FINAL.pdf

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