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）被广泛认为是一种模式，许多政策制定者、专业组织、卫生保健组织和临床医生希望这种模式能够以更低的成本提高社区初级保健实践的质量和安全性。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，将其整合到实践程序中，并随着时间的推移维持和不断改进实践。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整合许多组件。PCMH特别具有挑战性的组成部分包括充分整合卫生信息技术、实施人口重点、发展协作团队、维护支持实践变化的关系基础设施（“适应性储备”），以及在更大的医疗保健社区之间协调护理。为了实现PCMH的承诺，必须更广泛地掌握PCMH成功的实施战略。这个工作传播和实施系列会议将确定、描述和传播最具创新性的PCMH转型战略，这些战略是从具有实施综合PCMH模式的长期经验的实践中产生的。实践将从参加美国家庭医生学会国家示范项目（NDP）的实践和作为Robert Wood Johnson基金会资助的一部分编制的创新初级保健实践列表中选择。由于这些实践既参与了示范项目，又独立完成，因此它们代表了在当前医疗保健环境下的可能性，因此使它们成为工作会议的理想参与者。本次系列工作会议的首席研究员和合作顾问都是PCMH转型领域的领导者。本次系列会议的主要目标是：1)创造一个环境，使在实施综合PCMH模式方面经验丰富的临床医生和工作人员能够与实践变革专家和政策制定者就制定先进PCMH的多个组成部分的战略进行反思；2)总结先进PCMH组件的实施现状，并确定实施策略；3)迅速传播实施最具挑战性的PCMH模型组件的实用策略；4)编辑一卷，总结成功实施PCMH的模型和策略。传播产品将为今后帮助初级保健实践进行变革的工作提供信息，并为指导长期实施先进的PCMH模式提供更好的证据。

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.