ESCALATES in Action

The Bottom Line: Use Of Quality Improvement Strategies Among Small To Medium-Size US Primary Care Practices

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Quick Read ESCALATES Learnings

Learn the bottom line about the Annals of Family Medicine paper, “Use Of Quality Improvement Strategies Among Small …

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International Conference on Practice Facilitation: Even Practice Facilitators and Practice Facilitation Program Leads Need Support!

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The inaugural International Conference on Practice Facilitation was a two-day event …

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AHRQ: EvidenceNOW Results: Increased Capacity for Quality Improvement in Small Primary Care Practices

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The following graphic created by AHRQ from ESCALATES data illustrates the increase of practice capacity in the participating …

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The Bottom Line: Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement

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Quick Read ESCALATES Learnings

Learn the bottom line about the Health Affairs paper, “Primary Care Practices’ …

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Reactions to the new Blood Pressure Guidelines in EvidenceNOW Practices

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Quick Read ABCS

The new hypertension guideline from the American College of Cardiology and the American Hospital Association is important for practices working to improve …

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Practice Facilitator Data-Driven Support Strategies for EHR Challenges

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Escalates Learnings

See the visual abstract [small infographic] and link to the full paper in the May edition of The Journal of the American Board of Family Medicine. “Practice Facilitator Strategies for Addressing Electronic …

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Midwest Cooperative Publications

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See the publications from the EvidenceNOW Midwest Cooperative!

Design of healthy hearts in the heartland (H3): A practice-randomized, comparative effectiveness study. Jody …

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News for Paper: Use of Quality Improvement Strategies Among Small to Medium-Size US Primary Care Practices

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See The News For This Annals of Family Medicine Paper

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Use of Quality Improvement Strategies in EvidenceNOW Practices

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Escalates Learnings

Implementing quality improvement (QI) strategies in a small- to medium-sized primary care practice can be a challenge. ESCALATES published in the Annals of …

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News for Paper: Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement

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See The News For This Health Affairs Paper

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Using Electronic Health Record Data For Quality Improvement in Primary Care

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Escalates Learnings

See the visual abstract [small infographic] and link to the full paper in the April edition of Health Affairs. “Primary Care Practices’ Abilities And Challenges In Using EHR …

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Evaluation Of A National D&I Initiative To Enhance Primary Care Practice Capacity And Improve Cardiovascular Disease Care

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ESCALATES Methods

ESCALATES Principal Investigator, Deb Cohen PhD, gave the Grand Rounds …

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Data-Driven Diffusion Of Innovations: EvidenceNOW as an Example of a Large-Scale Innovative Delivery Model

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In the February issue of Health Affairs, “Diffusion of Innovation,” David Dorr, Julia …

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News for Paper: Taking Innovation To Scale In Primary Care Practices: The Functions Of Health Care Extension

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See The News For This Health Affairs Paper

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Health Care Extension in EvidenceNOW: Taking Innovation to Scale

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Escalates Learnings

Across the country, primary care practices – especially those that are small or rural – struggle to meet the growing needs of patients and the changing demands of health care policy for payment …

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Team-based care found best for hypertension control

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Quick Read ABCS

In December 2017, the Annals of Internal Medicine published an NIH-funded systematic review and meta-analysis of 8 strategies to control high blood pressure. Basing their analysis on 121 comparisons …

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The Power Of Patient Engagement

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EvidenceNOW aims to improve the ABCS of heart health in the patients of 1,500 small- to medium-sized primary care practices across the United States. One of the key means of accomplishing this goal in EvidenceNOW has been Practice Facilitation, though …

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What Prevention Actions Should Practices Prioritize for their Limited Resources?

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In an analysis by Yarnall and colleagues, it was estimated that it would take a physician with a patient panel of 2,500 patients 7.4 hours per working day to deliver all of the …

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Some Challenges Rural Practices Face in Working on Quality Improvement

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quick read EvidenceNow

The Cooperatives of EvidenceNOW were each tasked with recruiting 250 diverse small- to medium-sized practices each, which resulted in about 20% of the 1500 participants being from rural areas …

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AHRQ: EvidenceNOW: A Snapshot of Participating Primary Care Practices

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The following graphic created by AHRQ from ESCALATES data, illustrates the characteristics of the participating small- to medium-sized primary care practices in EvidenceNOW along with the average …

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A Triple Win: Tailoring External Support to Practice Needs

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Escalates Learnings

Primary care practices in the U.S.—particularly small, independent practices—face significant challenges to care delivery improvement: overburdened staff, time limitations, and financial constraints are …

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Understanding the Bottom Line: How Utilization of External Support is Affected by Finances

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Quick Read ESCALATES Learnings

EvidenceNOW is testing what kinds of external support, like practice facilitation or data infrastructure development, help …

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Recruiting Practices for Change Initiatives: Findings from EvidenceNOW

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Escalates Learnings

Recruiting primary care practices can be a difficult undertaking. ESCALATES published in the American Journal of Medical Quality and created an infographic to provide insight into key …

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Six Snap Shots of Primary Care: What an EvidenceNOW Practice Looks Like

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While practices vary widely by many factors, they have in common a strong commitment to providing the best possible care to the 8 million people they serve …

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Hiring Someone to Make Use of EHR Data Pays Off

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quick read EvidenceNow

Practices are transforming patient care by improving their ability to use data from their EHRs. However, there are difficulties in relying on the EHR – using them requires expertise and personnel resources that many smaller primary care practices don’t …

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What Have We Learned So Far? A Review of Early Findings from the EvidenceNOW National Evaluation Team

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Escalates Learnings

Did you miss the July 18th webinar on early findings from ESCALATES? See the recording of the webinar here!

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Successful Practice Facilitation Part 2: The Job is to “Go Find the Geese”

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practice facilitation

This is Part 2 of Leif Solberg, MD, Dissemination Team Lead for ESCALATES’ conversation with Lyndee Knox, PhD, founding director of L.A. Net …

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Increasing Patient Engagement with Their Care Through the Portal

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Quick Read Practice Facilitation

One of my responsibilities as a practice coordinator is to encourage practices to make small steps that can make a big impact. For instance, one practice that I work with is trying to encourage patients …

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Successful Practice Facilitation Part 1: It’s More Than Data Collection and Feedback, It’s Sparkle

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practice facilitation

Leif Solberg, MD, Dissemination Team Lead for ESCALATES, spoke with Lyndee Knox, PhD, founder of L.A.Net, a primary care …

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What Do We Know and Need to Know About Transforming Primary Care?

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As a long-time participant in, and student of, primary care transformation, I am struck by how little we understand about how to stimulate, facilitate, manage, and reward …

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Engaging Staff Led to 177 Cases of Smoking Cessation

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Quick Read ABCS

One practice participating in the Northwest Cooperative of EvidenceNOW was able to get 177 active tobacco users to stop smoking by engaging all of their staff in the implementation of a quality improvement …

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Keeping the Small-Town Hospital Going: How External Obstacles Affect the Ability of Practices to Improve

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Quick Read Practice Facilitation

I recently met a physician on a practice visit who seemed to be keeping his small-town hospital alive almost single-handedly …

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Context Matters When Improving the ABCS of Heart Health in Diverse Places

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Why is it that research findings from different studies often seem to contradict each other? Why do summaries of research on a particular topic usually come to …

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AHRQ: EvidenceNOW: Setting the Target for Improving Heart Health in America

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Escalates Learnings

The following graphics created by AHRQ from ESCALATES data, show how the primary care clinics participating in EvidenceNOW are doing at delivering the four most important cardiovascular preventive services to their patients (ABCS). Although the average rates are quite good, there is a lot of variation among clinics, meaning that nearly all…

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Using Staff Turnover as an Opportunity to Re-engage in Quality Improvement

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Quick Read Practice Facilitation

Staff turnover could be viewed as a barrier to quality improvement, but one practice that I work with in EvidenceNOW chose to use it as an opportunity to re-engage …

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Burnout – It’s Not Just a Problem for Physicians

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Quick Read ESCALATES Learnings

A great deal of attention is being paid to burnout among physicians, with studies reporting rates of up to 50% of physicians being affected. Furthermore, primary care physicians have above average rates. Preliminary data from EvidenceNOW …

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New Prevention Priorities Update Highlights the Importance of ABCS Focus

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Quick Read ABCS

In a 2017 update of priorities among clinical preventive services recommended by the US Preventive Services Task Force, the National Commission on Prevention …

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Bridging the Two Worlds of Evidence for Best Patient Care

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ESCALATES Methods

It sometimes seems like there are two separate worlds when it comes to figuring out how to deliver the very best medical care to all patients equally well everywhere. Researchers, in their world, are saying …

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Virginia Cooperative Publications

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See the publications from the EvidenceNOW Virginia Cooperative!

National Academy for State Health Policy. Primary Care Provider Burnout: Implications for States & Strategies for Mitigation. Jennifer Reck …

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Southwest Cooperative Publications

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See the publications from the EvidenceNOW Southwest Cooperative!

JABFM: Health Extension and Clinical and Translational Science: An Innovative Strategy for Community Engagement. Arthur Kaufman, MD, Robert L. Rhyne …

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The idea of Coachability Could be a Key to Success in Improving ABCS

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Over the past few months, I have been visiting each EvidenceNOW Cooperative to observe the important work that practice coaches or facilitators …

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Reducing Burnout: Three Physician Time Wasters That Can Be Fixed

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quick read EvidenceNow

EvidenceNOW is exploring a variety of strategies to help address physician burnout such as creating more teamwork within practices and balancing clinical staff and faculty ratios …

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Succeeding Under MACRA’s Merit-based Incentive Payment System: How EvidenceNOW Can Help

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Escalates Learnings

Small and medium-sized primary care practices face substantial challenges in meeting the requirements of …

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To Recruit or To Be Recruited: Lessons Learned from the EvidenceNOW Large Scale Recruiting Experience

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We spoke with both recruiters and practice leaders to learn what it takes to engage …

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Northwest Cooperative Publications

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See the publications from the EvidenceNOW Northwest Cooperative!

Implementation Science: Study protocol for “Healthy Hearts Northwest”: a 2 × 2 randomized factorial trial to build quality improvement capacity in primary care. Michael L. Parchman, Lyle J. Fagan, David A. Dorr, Peggy Evans, Andrea J. Cook, Robert …

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Various Ways to Organize a Practice Extension Service – Seven Approaches

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ESCALATES Methods

The Affordable Care Act (ACA), better known as Obamacare, has formalized the proposal of the Primary Care Extension Program. The idea of building health …

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EvidenceNOW is a Test of Primary Care Extension

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At the turn of the 20th century, after many other more traditional dissemination strategies had been tried, there remained a large gap between what was known about more efficient …

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The ESCALATES Study Protocol

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ESCALATES Methods

Looking for more details about the national evaluation of the EvidenceNOW initiative? The protocol for ESCALATES has been published in Implementation Science.   Read the Protocol Here

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New York City Cooperative Publications

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See the publications from the EvidenceNOW New York City Cooperative!

Implementation Science: Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC. Donna R. Shelley, Gbenga Ogedegbe, Sheila Anane, Winfred …

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The Origins of AHRQ’s EvidenceNOW Evaluation: ESCALATES

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I had the opportunity to talk with David Meyers, M.D., who is the Chief Medical Officer at the Agency for Healthcare Research and Quality (AHRQ) about the Agency’s EvidenceNOW initiative. He recently wrote about the origins …

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Different Paths, Same Destination: The Road to Harmonization

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ESCALATES Methods

With a study of the size and scope of EvidenceNOW, there could have been ample opportunity for each of the different Cooperatives to travel their own routes towards discovery …

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The power of prevention: How EvidenceNOW and ESCALATES can Extend the Lives of Tens of Millions of Americans

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I have more to share on the power of cardiac preventive care.
I was getting ready this week to go to Helsinki to teach our annual short-course on chronic disease prevention, and looking over the recent work done by my colleagues in Finland …

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The public health stakes of EvidenceNOW and ESCALATES participation: A researcher’s perspective

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A few years ago, my fellow researchers and I developed a method to calculate what would happen if all evidence-based care for the prevention and treatment of coronary heart disease and heart failure were delivered.

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EvidenceNOW: Helping Primary Care Offices Keep Their Resolutions To Put Evidence Into Practice

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Making New Year’s resolutions is a lot easier than keeping them, whether vowing to eat healthier, exercise more, or spend less time online. Ultimately, success is a two-step process—getting solid information about what strategies work best, and embracing support from family or friends who can help turn good intentions into…

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Learn More About ESCALATES

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Principal Investigator Deb Cohen, PhD, provides a brief overview of the the ESCALATES national evaluation, its place in the overall EvidenceNOW initiative and potential impact on primary care in the United States.

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Learn more about EvidenceNOW

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This short video explains how EvidenceNOW, an initiative of the federal Agency for Healthcare Research and Quality (AHRQ), is working to improve heart health across the nation by providing evidence-based help and support where it can do the most good: the primary care clinic.

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ESCALATES bridges key gaps in quality improvement

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Few problems facing American medicine are more daunting than the challenge of improving community primary care practices and maximizing our learning from such efforts.

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EvidenceNOW: The scale, scope to advance real practice improvement

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EvidenceNOW manifests a scale and scope of practice-based innovation work that not-so-long ago was simply not accepted in the research community as plausible, possible or important.

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ESCALATES challenges the traditional to move the field forward

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EvidenceNOW is an unparalleled investment in primary care that will show the potential of primary care to move the needle on heart health in the United States.

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EvidenceNOW/ESCALATES: A welcome approach to answering the “how” and “why”of practice engagement and change

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With several practice facilitation efforts currently in the field, including those funded by AHRQ, CMS and Milbank, I am pleased to see the team assembled as ESCALATES for the evaluation of EvidenceNOW.

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A grand learning opportunity at a crucial time

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The Robert Graham Center was created by the American Academy of Family Physicians to improve the health of both individuals and populations by enhancing delivery of primary care.

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ABMS: ABMS Multispecialty MOC Portfolio Approval Program Adds AHRQ’s Evidence Now Initiative

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The American Board of Medical Specialties (ABMS) today announced that the Agency for Healthcare Research and Quality’s (AHRQ’s) EvidenceNOW: Advancing Heart Health in Primary Care initiative will join ABMS’ Multi-Specialty Portfolio Approval Program (Portfolio Program). As a result, EvidenceNOW physicians who are Board Certified by one of 20 of the…

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PCPCI: EvidenceNow – Advancing Heart Health in Primary Care

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The U.S. Agency for Healthcare Research and Quality (AHRQ) has made heart health a priority through the campaign EvidenceNOW: Advancing Heart Health in Primary Care. Heart disease is the leading cause of death for men and women in the United States; on an annual basis, Americans suffer over 1.5 million…

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JAMA: EvidenceNOW Grants Focus on Heart Disease Care in Small Practices

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The federal Agency for Healthcare Research and Quality is issuing $112 million in grants to help improve cardiovascular care in smaller primary care practices across the United States. The EvidenceNOW initiative aims to improve cardiovascular health care delivery. The EvidenceNOW initiative will provide funds for 3 years to create 7…

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North Carolina Cooperative Publications

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See the publications from the EvidenceNOW North Carolina Cooperative!

Implementation Science: Advancing heart health in North Carolina primary care: the Heart Health NOW study protocol. Bryan J. Weiner, Michael P. Pignone, C. Annette DuBard, Ann Lefebvre, Janet …

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