Colorado Family Medicine Residency PCMH Project

Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Monday, December 1, 2008
Pilot/Demo Length: 
3+ years

The project includes the use of quality improvement coaches, facilitating the formation of improvement teams within practices, using quality performance measures and other practice data to guide the design of a series of focused, rapid change cycles to accomplish practice change. Onsite coaching is supplemented with a series of Improvement Collaboratives, information technology and PCMH consultative resources. The residency curriculum redesign portion of the project consists of similar elements, but with less intensive coaching. Residency programs will implement changes in curricula to incorporate teaching of the chronic care model, quality improvement and other concepts relevant to the PCMH. The majority of PCMH teaching will be incorporated resident involvement in quality improvement and change process and in the residents’ experiences caring for patients in the practice.

Type of Practices: 
Family Practice
CONVENING ENTITY/PROJECT CONTACTS
Convening Organization Name: 
Colorado Clinical Guidelines Collaborative, University of Colorado Denver Department of Family Medicine, Colorado Association of Family Medicine Residencies
Primary Contact: 
Perry Dickinson, MD
E-mail: 
[email protected]
Phone: 
303/724-9754
Additional Contact
Name: 
Bonnie Jortber
Julie Schilz
Phone: 
303/724-0973
720/297-1681
Participating Stakeholders: 

University of Colorado Denver Department of Family Medicine; Colorado Clinical Guidelines Collaborative; Colorado Association of Family Medicine Residencies; The Colorado Health Foundation; Colorado Institute of Family Medicine; University of Colorado Hospital Family Medicine Residency, Denver; Fort Collins Family Medicine Residency, Fort Collins; Southern Colorado Family Medicine Residency, Pueblo; North Colorado Family Medicine Residency, Greeley; Denver Health Family Medicine Track, Denver; St. Francis Hospital Family Medicine Residency, Grand Junction; St. Joseph Hospital Family Medicine Residency, Denver; St. Anthony Hospital Family Medicine Residency, Denver; Rose Hospital Family Medicine Residency, Denver; Swedish Hospital Family Medicine Residency, Denver.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
10
Number of Participating Physicians: 
320
Physicians per practice: 
20-40
Types of Practices: 
Family Medicine
Health Plan Lines of Business Included: 
All patients involved, but no health plan support for project (no change in the payment system). However, there will be some direct and indirect support for practice participation in the project through grant funding.
Technology Characteristics at Start of Pilot: 

Estimated % of practices with practice management systems: >95%
Estimated % of practices with electronic medical record: 26-50%
Estimated % of practices with registry software: 5-25%

Consumer Involvement: 

Will involve patient advisors at each residency practice site. Plan to involve patient advisors for overall project and in collaborative meetings.

PRACTICE TRANSFORMATION SUPPORT (INCLUDING TECHNOLOGY)
Focal areas of transformation: 

Care Coordination
Increased Access
Team Approach to Care

Technology that participating practices have added as a result of their participation: 

Practices are in the process of adding registries, care coordination, team based care elements. Five practices are in the process of implementing an EMR, not directly through our project but with some project support.

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality Patient Experience/Satisfaction Provider Experience/Satisfaction

Are the practices involved in the demonstration participating in any data sharing arrangements? If so please describe.: 

Undecided

Results to Share: 

Although we are early in our project and only have some preliminary findings at this point, we will be presenting our assessment methodology at the STFM/ AAFP Practice Improvement Conference in Kansas City in November 2009. We plan to present some of our initial findings in other meetings in 2010.

Relevant links: 

http://www.coloradoguidelines.org/pcmh/residency.asp
http://www.coloradoguidelines.org/pcmh/inthenews.asp