Working Conference Series to Disseminate PCMH Implementation Strategies

描述(由申请人提供)：以患者为中心的医疗之家(PCMH)被广泛认为是许多政策制定者、专业组织、卫生保健组织和临床医生希望在以社区为基础的初级保健实践中以更低的成本提高质量和安全性的模式。为了实现这一愿景，初级保健社区必须了解如何实施先进的PCMH模型组件，将它们整合到实践例程中，并随着时间的推移维持和持续改进实践。然而，向PCMH的转变不仅仅涉及实现组件-它需要以从根本上改变个人角色和个人身份的方式集成许多组件。PCMH的组成部分特别具有挑战性，包括全面整合卫生信息技术、实施以人群为中心、发展协作团队、维护支持实践变革的关系基础设施(“适应性储备”)以及协调整个较大的医疗社区的护理。为了实现PCMH的承诺，必须更广泛地掌握成功的PCMH实施战略。这一系列工作传播和实施会议将确定、描述和传播从具有实施全面的PCMH模式的长期经验的做法中产生的最具创新性的PCMH转型战略。实践将从参加美国家庭医生学会的国家示范项目(NDP)的那些人中选出，并从作为罗伯特·伍德·约翰逊基金会赠款一部分编制的创新初级保健实践清单中选出。由于这些做法既参与了示范项目，又自行完成，它们代表了当前医疗保健环境中的可能性，因此使它们成为工作会议的理想参与者。协调这一系列工作会议的主要研究人员和合作顾问一直是PCMH转型领域的领导者。这一系列会议的主要目标是：1)创造一个环境，在这种环境下，具有实施综合PCMH模式经验的临床医生和工作人员可以与实践变革专家和政策制定者一起思考制定先进的PCMH的多个组成部分的战略；2)总结实施先进的PCMH组成部分的现状，并确定实现这些组成部分的战略；3)迅速传播实施最具挑战性的PCMH模式组成部分的实用战略；以及4)编写一本经过编辑的卷，总结成功实施的PCMH模式和战略。传播产品将为未来帮助初级保健做法进行变革性改变的努力提供信息，并提供更好的证据来指导先进的PCMH模式的长期实施。

DESCRIPTION (provided by applicant): The Patient-Centered Medical Home (PCMH) is widely acknowledged as a model that many policymakers, professional organizations, health care organizations, and clinicians hope will lead to enhanced quality and safety at lower cost in community-based primary care practices. To realize this vision, the primary care community must understand how to implement advanced PCMH model components, integrate them into practice routines, and sustain and continually improve practices over time. However, transformation to a PCMH involves more than just implementing components - it requires integration of many components in ways that fundamentally shift individual roles and personal identities. Components of the PCMH that are particularly challenging include fully integrating health information technology, implementing a population focus, developing collaborative teams, maintaining a relationship infrastructure that supports practice change ("adaptive reserve"), and coordinating care across the larger healthcare neighborhood. To realize the promise of the PCMH, there must be a broader grasp of successful PCMH implementation strategies. This working dissemination and implementation conference series will identify, describe, and disseminate the most innovative PCMH transformational strategies to emerge from practices that have long-term experience implementing a comprehensive PCMH model. Practices will be selected from those that participated in the American Academy of Family Physician's National Demonstration Project (NDP) and from a list of innovative primary care practices compiled as part of a Robert Wood Johnson Foundation grant. Because these practices both participated in demonstration projects and did it on their own, they represent what is possible within the current health care environment, thus making them ideal participants for a working conference. The principal investigator and collaborating consultants coordinating this working conference series have been leaders in the field of PCMH transformation. The major objectives of this conference series are: 1) to create an environment in which clinicians and staff experienced in implementing comprehensive PCMH models can reflect with practice change experts and policymakers on strategies for enacting the multiple components of an advanced PCMH; 2) to summarize the current status on implementing advanced PCMH components and identify strategies for accomplishing them; 3) to rapidly disseminate practical strategies for implementing the most challenging PCMH model components; and 4) to compile an edited volume that summarizes PCMH models and strategies for successful implementation. Dissemination products will inform future efforts to help primary care practices make transformative changes and provide better evidence to guide long-term implementation of advanced PCMH models.