ESCALATES in Action
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 …Read More
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 …Read More
Did you miss the July 18th webinar on early findings from ESCALATES? See the recording of the webinar here!Read More
This is Part 2 of Leif Solberg, MD, Dissemination Team Lead for ESCALATES’ conversation with Lyndee Knox, PhD, founding director of L.A. Net …Read More
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 …Read More
Leif Solberg, MD, Dissemination Team Lead for ESCALATES, spoke with Lyndee Knox, PhD, founder of L.A.Net, a primary care …Read More
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 …Read More
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 …Read More
I recently met a physician on a practice visit who seemed to be keeping his small-town hospital alive almost single-handedly …Read More
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 …Read More
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…Read More
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 …Read More
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 …Read More
In a 2017 update of priorities among clinical preventive services recommended by the US Preventive Services Task Force, the National Commission on Prevention …Read More
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 …Read More
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 …Read More
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 …Read More
Over the past few months, I have been visiting each EvidenceNOW Cooperative to observe the important work that practice coaches or facilitators …Read More
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 …Read More
Small and medium-sized primary care practices face substantial challenges in meeting the requirements of …Read More
We spoke with both recruiters and practice leaders to learn what it takes to engage …Read More
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 …Read More
The Affordable Care Act (ACA), better known as Obamacare, has formalized the proposal of the Primary Care Extension Program. The idea of building health …Read More
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 …Read More
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 HereRead More
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 …Read More
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 …Read More
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 …Read More
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 …
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.Read More
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…Read More
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.Read More
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.Read More
Few problems facing American medicine are more daunting than the challenge of improving community primary care practices and maximizing our learning from such efforts.Read More
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.Read More
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.Read More
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.Read More
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.Read More
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…Read More
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…Read More
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…Read More
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 …Read More