Overcoming Challenges to Teamwork in Patient-Centered Medical Homes: A Qualitative Study

There is emerging consensus that enhanced inter-professional teamwork is necessary for the effective and efficient delivery of primary care, but there is less practical information specific to primary care available to guide practices on how to better work as teams. The purpose of this study was to describe how primary care practices have overcome challenges to providing team-based primary care and the implications for care delivery and policy

A Vision for Using Digital Health Technologies to Empower Consumers and Transform the U.S. Health Care System

Digital technologies that serve as a communication bridge between providers and consumers have the potential to disrupt the U.S. health care system by enabling consumers to get care and support when and where they need it, while also making their needs and preferences known. This report describes early efforts to use digital technologies—ranging from remote monitoring devices and teleconferencing devices for virtual office visits to data mining tools—to redesign care models around the common needs of discrete patient populations. The approaches described, including those designed to increase patient engagement and close communication gaps, focus on the needs of patients with complex and costly medical and behavioral health conditions as these efforts may present the greatest opportunity for simultaneously improving care and reducing costs

Assessing the impact of evidence summaries in library and information practice

Objective This study developed, validated and administered an instrument to investigate the impact of research evidence summaries published in the journal, Evidence Based Library and Information Practice. Methods Using the critical incident technique, this mixed methods study began by developing and testing a survey questionnaire, disseminating it to readers of the journal and conducting follow-up interviews with a subsample. Findings A total of 86 practitioners responded to the survey and 13 took part in interviews. Evidence summaries led to impact at four levels: librarian knowledge, librarian practice, workplace practice, and library users. The instrument was revised as a result of the findings. Conclusion This study provides unique insight into whether evidence summaries are an effective means of bridging the research-practice gap for the library community and its scholarly communication channels. The validated impact assessment instrument may also be adapted for other means of disseminating research in library and information practice

Transitional Care Services: A Nurse-Led Quality Improvement Project

With the implementation of the Patient Protection and Affordable Care Act of 2010 (PPACA) and a national requirement for health care providers and systems to deliver care that is safe, outcome driven, and cost effective, Dignity Health (DH) as part of the hospital engagement network (HEN) launched an initiative called the “No Harm” campaign to reduce all-cause avoidable hospital readmissions. The project, led by a Doctorate of Nursing Practice (DNP) student and readmission team, sought to achieve a 20% reduction in preventable readmissions by December 2014. After having achieved initial success in implementing transitional care services for patients with heart failure and subsequently decreasing rehospitalizations by 30%, the DNP student and readmission team plan to expand evidence-based practices and interventions to all high-risk patients admitted to St. Mary’s Medical Center, a DH member. Such practices will include four key transitional care interventions: enhanced assessment of post-hospital needs, effective teaching and facilitated coaching (learning), post-hospital care follow-up, and provision of real-time handover to the next provider(s) to reduce avoidable rehospitalizations and improve outcomes

Why Not the Best? Results From the National Scorecard on U.S. Health System Performance, 2011

Assesses the U.S. healthcare system's average performance in 2007-09 as measured by forty-two indicators of health outcomes, quality, access, efficiency, and equity compared with the 2006 and 2008 scorecards and with domestic and international benchmarks

The quality of maternal and infant health services and their utilisation by remote dwelling aboriginal families in the top end of Australia

Aim The objective of this thesis was to investigate the quality of maternal and infant health services and their utilisation at the primary and referral level, by remote dwelling Aboriginal mothers and their infants. Methods Mixed methods were used. Health service use and the quality of service delivery were examined in a retrospective cohort study of 412 Aboriginal women during pregnancy, birth and postpartum and their infants (n=413) during the first year. In addition, 60 interviews were conducted with clinicians and 120 hours of participant observation were undertaken at regional hospital and remote health centres. Results Poor maternal and infant health outcomes, high demand for antenatal and infant care in the remote setting with insufficient staffing and system-wide deficiencies in the quality and coordination of care were identified. Conclusions The resourcing and organisation of health services and the beliefs, attitudes and practices of clinicians were important factors affecting the quality of care in these settings. A significant change to the organisation of services should be seen as a priority for health care planners. Service redesign based on continuity of care, adequate resourcing of services, work load reform including more efficient use of the Aboriginal Health Worker, child health nurse and midwifery workforce and the integration of community-based health service delivery could play a substantial role in improving outcomes

eProfile v3.2 guidance manual

"Context: The eProfile is an electronic data collection tool that has been funded by the Department for Education (DfE) and developed in partnership with QCDA. It provides an electronic means of recording the final judgements made of a child's attainment at the end of the EYFS. It offers an invaluable source of information to support transition and enables year 1 teachers to plan an effective, responsive and appropriate curriculum that will meet all children's needs and next learning steps. The eProfile will assist practitioners and headteachers in building a picture of a child’s attainment during the reception year across all six areas of learning and development. It gives vital information to inform the school’s self evaluation process and can also be used to evaluate provision." - Page 3

Digital public health leadership in the global fight for health security

The COVID-19 pandemic highlighted the need to prioritise mature digital health and data governance at both national and supranational levels to guarantee future health security. The Riyadh Declaration on Digital Health was a call to action to create the infrastructure needed to share effective digital health evidence-based practices and high-quality, real-time data locally and globally to provide actionable information to more health systems and countries. The declaration proposed nine key recommendations for data and digital health that need to be adopted by the global health community to address future pandemics and health threats. Here, we expand on each recommendation and provide an evidence-based roadmap for their implementation. This policy document serves as a resource and toolkit that all stakeholders in digital health and disaster preparedness can follow to develop digital infrastructure and protocols in readiness for future health threats through robust digital public health leadership.Peer reviewe

Using a Deliberative Dialogue to Facilitate the Uptake of Research Evidence in Rehabilitation for Children with Cerebral Palsy

This study explores how to facilitate the use of research evidence to optimize outcomes for children with cerebral palsy (CP) in practice. Findings from two studies were used as the basis for exploring how to comprehensively assess developmental trajectories of children with CP and plan individualized interventions. Seventeen affiliated stakeholders (e.g. physicians, senior leadership, frontline clinicians, families and youth with CP) participated in this study. Data from a deliberative dialogue and interviews were analyzed using grounded theory methods with a pragmatic perspective. The results highlighted that all areas of practice must engage in knowledge translation to be effective. Stakeholders outlined roles and responsibilities of actors within pediatric rehabilitation, including children and families, service providers and administrators and government representatives. Strategies for knowledge translation were considered among stakeholders and described in the results. This study provides an evidence base to promote knowledge translation for these two studies and in pediatric rehabilitation

PHCRIS Annual Report 2010

Each year PHCRIS produce an Annual Reports summarising our activities and achievements. These are available in both HTML and PDF