scholarly journals Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development

2021 ◽  
Author(s):  
Siaw-Teng Liaw ◽  
Craig Kuziemsky ◽  
Richard Schreiber ◽  
Jitendra Jonnagaddala ◽  
Harshana Liyanage ◽  
...  
Keyword(s):  
Primary Care ◽  
Internet Access ◽  
Electronic Record ◽  
Lessons Learned ◽  
Care Practice ◽  
Privacy And Security ◽  
State Regulations ◽  
Digital Development ◽  
Primary Care Clinicians ◽  
Care Informatics

Objective: Internationally, primary care practice had to transform in response to the COVID pandemic. Informatics issues included access, privacy, and security, as well as patient concerns of equity, safety, quality, and trust. This paper describes progress and lessons learned. Methods: IMIA Primary Care Informatics Working Group members from Australia, Canada, United Kingdom and United States developed a standardised template for collection of information. The template guided a rapid literature review. We also included experiential learning from primary care and public health perspectives. Results: All countries responded rapidly. Common themes included rapid reductions then transformation to virtual visits, pausing of non-COVID related informatics projects, all against a background of non-standardized digital development and disparate territory or state regulations and guidance. Common barriers in these four and in less-resourced countries included disparities in internet access and availability including bandwidth limitations when internet access was available, initial lack of coding standards, and fears of primary care clinicians that patients were delaying care despite the availability of televisits. Conclusions: Primary care clinicians were able to respond to the COVID crisis through telehealth and electronic record enabled change. However, the lack of coordinated national strategies and regulation, assurance of financial viability, and working in silos remained limitations. The potential for primary care informatics to transform current practice was highlighted. More research is needed to confirm preliminary observations and trends noted.

Mental Health Care of Children and Adolescents: A Guide for Primary Care Clinicians

2018 ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Children And Adolescents ◽  
Primary Care Practice ◽  
Care Practice ◽  
Primary Care Clinicians

This indispensable resource provides vital guidance for integrating mental health care into your everyday primary care practice. https://shop.aap.org/mental-health-care-of-children-and-adolescents-a-guide-for-primary-care-clinicians-paperback/

scholarly journals Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City

2020 ◽  
Vol 8 ◽  
Author(s):  
Sanjai Sinha ◽  
Lisa M. Kern ◽  
Laura F. Gingras ◽  
Evgeniya Reshetnyak ◽  
Judy Tung ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
New York City ◽  
York City ◽  
Primary Care Practice ◽  
Lessons Learned ◽  
Care Practice

scholarly journals The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review

2019 ◽  
Vol 51 (3) ◽  
pp. 251-261 ◽  
Author(s):  
Kathleen Dwiel ◽  
Martell A. Hesketh ◽  
Jessica L. Alpert ◽  
Jacqueline Cellini ◽  
Kristen Goodell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Oral Health ◽  
Dental Care ◽  
Evaluation Framework ◽  
Practice Change ◽  
Care Practice ◽  
Clinician Training ◽  
Primary Care Clinicians ◽  
The Impact

Background and Objectives: Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this systematic review is to understand the impact of implementing oral health curricula in primary care training on measurable changes in primary care practice. Methods: Researchers utilized a two-step process, first a scoping review and then using the PRISMA systematic review method to develop inclusion and exclusion criteria around audience, curricula, and outcomes to identify practice change due to oral health education curricula delivered in primary care clinician training. Researchers assessed titles, abstracts, and full texts and abstracted data for the review. Results: Researchers reviewed 2,749 articles and found 12 meeting the systematic review criteria. The reported outcomes and evaluations differed for each of the 12 studies identified. Over 40% utilized self-reporting. Seven of the included studies tracked outcomes by checklists embedded in electronic health records changes to well-child visit forms, or chart audits, one of which also tracked billing reimbursements. Conclusions: Oral health curricula for primary care clinicians are too heterogeneous to determine the effects on practice behavior. Future research should focus on developing a clear evaluation framework for measuring practice level changes in primary care settings as a result of implementing an oral health curriculum.

The Use of Knowledge Management in Healthcare: The Implementation of Shared Care Plans in Electronic Medical Record Systems at One Primary Care Practice

2013 ◽  
Vol 12 (04) ◽  
pp. 1350040 ◽  
Author(s):  
Connie J. Pascal ◽  
Claire McInerney ◽  
John Orzano ◽  
Elizabeth C. Clark ◽  
Lynn Clemow
Keyword(s):  
Primary Care ◽  
Knowledge Management ◽  
Primary Care Practice ◽  
Electronic Record ◽  
Pilot Project ◽  
Shared Care ◽  
Care Plan ◽  
Care Practice ◽  
Care Plans ◽  
Knowledge Object

A transformation in the way in which primary care is delivered is underway in the US. Across the country primary care practices are grappling with how to change from the traditional physician-directed model to a more patient-centred collaborative style as part of the effort to curb the rise of chronic disease. To date, few tools or techniques exist to help the individual primary care provider make this difficult and complex transformation. One such tool that has arisen is the shared care plan (SCP). As defined in the Taking Action for Learning and Knowledge Management to improve Diabetes Mellitus (TALK/DM) study (a NIDDK funded pilot project to implement SCPs in primary care), the SCP of primary care becomes the product of collaboration between the practice and the patients. The SCP is created by combining knowledge management (KM) techniques and motivational interviewing (MI) health counselling methods to form a new knowledge object. This paper focuses on this aspect of the TALK/DM study and takes a case study approach to explore how one primary care practice is implementing the SCP as knowledge object (both a paper document and an electronic record in the EMR system) in its organisation. This study adds nuance and insight into how knowledge objects such as the SCP can serve as a tool for collaboration in primary care.

scholarly journals Extension for Community Healthcare Outcomes Uruguay: A New Strategy to Promote Best Primary Care Practice for Autism

2019 ◽  
Vol 6 ◽  
pp. 2333794X1983373 ◽  
Author(s):  
Gustavo Giachetto ◽  
Ana Laura Casuriaga ◽  
Anabella Santoro ◽  
Virginia Kanopa ◽  
Gabriela Garrido ◽  
...  
Keyword(s):  
Primary Care ◽  
Best Practice ◽  
Care Practice ◽  
Healthcare Outcomes ◽  
Self Perception ◽  
Community Healthcare ◽  
Project Echo ◽  
New Strategy ◽  
Primary Care Clinicians ◽  
Clinical Cases

Introduction. In Uruguay, the special care required for children with neurodevelopmental disorders presents difficulties including lack of access to specialists and rehabilitation services. Project ECHO (Extension for Community Healthcare Outcomes) connects primary care clinicians from remote areas to specialists to enable them to treat complex conditions through ongoing education and mentoring. Objective. To share the experience of the ECHO Autism program during the first 2 years of implementation. Methods. Analysis of ECHO Autism clinics from June 2015 to June 2017 including clinical cases presented participants’ self-perception of changes in skills and competences. Results. Twenty clinical cases were presented: mean age 4.5 years; 15 were males; and 17 with medical and psychiatric comorbidities. After ECHO Autism implementation, a statistically significant improvement in participants’ self-perception of skills and competences was observed. Conclusions. ECHO Autism in Uruguay is a meaningful approach to autism care and offers improved access to best practice care.

scholarly journals Lessons Learned from Implementing the Patient-Centered Medical Home

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Ellen P. Green ◽  
John Wendland ◽  
M. Colette Carver ◽  
Cortney Hughes Rinker ◽  
Seong K. Mun
Keyword(s):  
Primary Care ◽  
Medical Home ◽  
Medical Records ◽  
Lessons Learned ◽  
Care Practice ◽  
National Committee ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Primary Care Model ◽  
Improve Health

The Patient-Centered Medical Home (PCMH) is a primary care model that provides coordinated and comprehensive care to patients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary care practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA). Individual organizations' experiences with this transition were gathered at a PCMH workshop in Alexandria, Virginia in June 2010. An analysis of their experiences has been used along with a literature review to reveal common challenges that must be addressed in ways that are responsive to the practice and patients’ needs. These are: NCQA guidance, promoting provider buy-in, leveraging electronic medical records, changing office culture, and realigning workspace in the practice to accommodate services needed to carry out the intent of PCMH. The NCQA provides a set of standards for implementing the PCMH model, but these standards lack many specifics that will be relied on in location situations. While many researchers and providers have made critiques, we see this vagueness as allowing for greater flexibility in how a practice implements PCMH.

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