Transforming Primary Care Conference

描述（由申请人提供）：医疗保健研究和质量机构已经承诺了大约400万美元，以通过R18-HS019150-02增加对PCMH转变和传播的理解。本建议中提出的活动只需要相对较少的额外投资，就可以利用这些调查队正在进行的工作来综合和传播PCMH知识库。此外，通过U18-HS020988 IMPaCT项目，我们和其他受助者可以为17个州的初级保健扩展服务基础设施的发展提供信息。宾夕法尼亚州立医学院（PSCOM）正在提议召开一次会议，将14名R18受助者与公认的PCMH专家聚集在一起，讨论在跨越14项研究的关键主题领域确定的最佳实践策略。这些领域包括：(1)环境，(2)定性研究方法，(3)护理管理，(4)基于团队的护理/购买，(5)心理模型和(6)患者观点。据我们所知，这次收集的结果将是迄今为止最大的PCMH评估结果交叉研究汇编之一。我们将采用本·克拉布特里（Ben Crabtree）博士、硕士（国家示范项目的关键评估者，公认的定性研究方法的领导者）开发的方法为模型的论文开发方法。会议结束后，在会议上确定的主要作者将指导他们的团队完成写作过程。会议的主要结论将通过多管齐下的策略传播，包括期刊文章、政策简报、播客和网络视频。我们将利用与特邀专家和受赠人建立的关系，与国家一级的组织建立联系，如Qualis Health的安全网医疗之家倡议；联邦基金受助人和PCMH评估者合作；北美初级保健研究小组；麦科尔研究所；美国家庭医生学会；美国医师学会；罗伯特·伍德·约翰逊基金会的质量调整力量；以患者为中心的初级保健协作（PCPCC）实践改进和创新中心。此外，我们将利用参与U18-HS020988-01影响赠款的17个州正在开发的初级保健扩展服务基础设施。

DESCRIPTION (provided by applicant): The Agency y for Healthcare Research and Quality has committed approximately $4 million to increase understanding of PCMH transformation and spread through R18-HS019150-02.With a relatively small additional investment, the activities put forth in this proposal can leverage the work being done through by these investigative teams to synthesize and disseminate PCMH knowledge-base. Furthermore, through the U18-HS020988 IMPaCT program, we and other grantees can inform development of the primary care extension service infrastructure across the 17 states involved. The Pennsylvania State College of Medicine (PSCOM) is proposing a conference that will bring the 14 R18 grantees together with recognized PCMH experts to discuss best practice strategies identified in critical topical areas that cut across the 14 studies. These areas include: (1) context, (2) qualitative research methodology, (3) care management, (4) team-based care/buy-in, (5) mental models and (6) patient perspectives. To our knowledge, the findings resulting from this gathering will represent one of the largest cross-study compilations of PCMH evaluation findings to date. We will utilize a paper development method modeled after an approach developed by Ben Crabtree, PhD, MA, a key evaluator in the National Demonstration Project and recognized leader in qualitative research approaches. Following the conference, lead authors identified at the conference will guide their team through the writing process. Key conference findings will be will be disseminated via a multi-pronged strategy including journal articles, policy briefs, podcasts and web videos. We will utilize established relationships with invited experts and grantees to reach national-level organizations such as Qualis Health's Safety Net Medical Home Initiative; Commonwealth Fund grantees and the PCMH Evaluators' Collaborative; North American Primary Care Research Group (NAPCRG); the MacColl Institute; American Academy of Family Physicians; American College of Physicians; Robert Wood Johnson Foundation's Aligning Forces for Quality; Center for Practice Improvement and Innovation at the Patient-Centered Primary Care Collaborative (PCPCC). Additionally, we will leverage the primary care extension service infrastructure being developed by the 17 states involved in the U18-HS020988-01 Impact grant. PUBLIC HEALTH RELEVANCE: The Patient Centered Medical Home (PCMH) has been touted as a means to "reinvigorate primary care, lower health care costs, enhance quality and produce more 'patient-centered' care for adult and child populations."5 In order for the PCMH to fulfill this potential, we must understand how to implement the model to get the most out of it, given a variety of contextual factors. The findings generated through this conference will advance this understanding, thereby moving us toward a health care system that can provide timely, affordable and effective health care to us all.