Turning on the care coordination switch in rural primary care: voices from the practices--clinician

Authors, Primary Fagnan,L. J.;Dorr,D. A.;Davis,M.;McGinnis,P.;Mahler,J.;King,M. M.;Michaels,L.
Title Primary Turning on the care coordination switch in rural primary care: voices from the practices--clinician champions, clinician partners, administrators, and nurse care managers.
Periodical Full Journal of Ambulatory Care Management
Pub Year 2011
Volume 34
issue 3
Start Page 304-318
Abstract This study sought to understand the acceptability and feasibility of office-based nurse care management in medium to large rural primary care practices. A qualitative assessment of Care Management Plus (a focused medical home model for complex patients) implementation was conducted using semistructured interviews with 4 staff cohorts. Cohorts included clinician champions, clinician partners, practice administrators, and nurse care managers. Seven key implementation attributes were: a proven care coordination program; adequate staffing; practice buy-in; adequate time; measurement; practice facilitation; and functional information technology. Although staff was positive about the care coordination concept, model acceptability was varied and additional study is required to determine sustainability.
Publisher Not Available
Place of Publication United States
Author/Address Oregon Rural Practice-based Research Network, Department of Family Medicine, Oregon Clinical & Translational Science Institute, Oregon Health & Science University, Portland, OR 97239, USA. fagnanl@ohsu.edu
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Care Coordination;Primary Care Workforce Issues;Practice Facilitation
Special Population(s) Not Available
Case Study Yes
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No