Our Work
PCPCM
Purpose
Approach
Why it matters
To create a relationship-based measure of primary care delivery and quality perceived as meaningful by those who seek care and those who provide care.
The Person-Centered Primary Care Measure was created through a five-step, deeply engaged process with diverse stakeholders. The process included: environmental mapping, crowdsourcing, collaborative conference, instrument development and testing, dissemination.
The PCPCM is a simple, clear, and powerful quality measure that captures patient voice and assessment of primary care.
Vitality Signs
Purpose
Approach
Why it matters
To identify a simple and effective patient-reported instrument able to embody the need every person has for a respectful health narrative co-created between a person and those who care for them.
Creating this new instrument uses the same approach innovated in the development of the PCPCM to capture the voice of Medicare beneficiaries and those invested in partnering with them on their health.
Needed is the ability to refocus care on the agenda and interests of the patient, starting with the patient’s reason for seeking support. The new instrument will take into account the care seeker’s whole person as well as the collective influence of their lived experiences on their health goals.
Flash Survey
Purpose
Approach
Why it matters
To receive future survey invitation links:
To provide high level visibility and voice to the experiences of front line primary care clinicians.
This effort uses a series of surveys, with both structured and open-ended questions, to assess the response, effect, and capacity of primary care over time. Frequency of surveys is responsive to fluctuations in policy and practice. Survey questions are generated by previous survey participants and a national advisory committee. Invitations are distributed through the Green Center’s Virtual Research Collaborative and our partners.
Without their own data, primary care clinicians are invisible to health systems and policy. These clinicians lack the support of national coordination, or a national database, designed to meet the unique needs of their function. This dataset is a starting point to allow them to best know and advocate for their needs.
Quick Covid-19 Primary Care Survey
Purpose
Approach
Why it matters
To assess the response and capacity of primary care settings during the COVID-19 pandemic.
This study used a series of 54 clinician surveys and 14 patient surveys, with both structured and open-ended questions, to assess experiences within primary care settings during the pandemic. Surveys used learning cycles that included: fielding, collection, analysis, dissemination, and adjustment to survey instrument for the following fielding. This study examined the positive and negative consequences of digital health on patient safety and access to care across varied settings, and the interaction of digital health with relationships between primary care patients and primary care teams.
The COVID-19 pandemic was a stress test on health care systems around the world. The size, scope, and speed of the pandemic created an imperative for rapid dissemination of data and findings which necessitated we create new methods to meet that need. The response of primary care to COVID-19 was a large-scale natural experiment of the capacity of primary care to meet the majority of people’s needs. This survey was used to inform policy and practice as early as June 2020.
Partner studies
We are privileged to join our partners in their work.
CHI partner studies
Practice Innovations for Equity (PIE) examines pandemic impact on the quality and equity of care for people with multiple chronic conditions. <<download>>
Crisis Advancing Knowledge for Equity (CAKE) examines the pandemic’s impacts on the workforce and on health disparities in populations served by community-based health centers. <<download>>
Wisdom of Practice (Wisdom) is an initiative that combines a series of related investigations to rediscover the wisdom of private practice, and to make that understanding accessible to current physicians, patients, and to a new generation. <<download>>
VCU partner studies
Prescribing trends and associated outcomes of antiepileptic drugs (AEDs) and other psychotropic medications in US nursing homes seeks to clarify how and why AEDs and other psychoactives are being used in nursing homes.
<<download… not yet written but coming>>