The Primary Care Practice Improvement Tool (PC-PIT) process for organisational improvement in primary care: application by Australian Primary Health Networks

2019 ◽  
Vol 25 (2) ◽  
pp. 185 ◽  
Author(s):  
Samantha J. Borg ◽  
Lisa Crossland ◽  
Jo Risk ◽  
Julie Porritt ◽  
Claire L. Jackson
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Care Home ◽  
Care Practice ◽  
Theory Approach ◽  
Health Networks ◽  
Practice Improvement ◽  
Primary Health ◽  
General Practices ◽  
Improvement Programs

The Primary Care Practice Improvement Tool (PC-PIT) is an organisational performance improvement tool recently implemented by two Primary Health Networks (PHNs). This study explored barriers and facilitators to implementing the PC-PIT process at scale, from the initial introduction of the tool to completion of Plan-Do-Study-Act cycles with general practices. Using a qualitative design, in-depth, semi-structured interviews were conducted with 10 PHN staff to seek feedback on the delivery of the PC-PIT to general practices. Interview results were analysed using a grounded theory approach. The identification of barriers such as difficulty engaging practices and lack of report sharing with the PHNs will help streamline future implementation. The PC-PIT was highly compatible with existing quality improvement programs and offers enhanced opportunity to support capacity building and implementation of the Health Care Home model.

Improving quality in general practice using the Primary Care Practice Improvement Tool (PC-PIT) with Primary Health Network support

2020 ◽  
Vol 26 (6) ◽  
pp. 484
Author(s):  
Samantha J. Borg ◽  
Maria Donald ◽  
Koula Totsidis ◽  
Narelle Quinn ◽  
Claire L. Jackson
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Care Home ◽  
Care Practice ◽  
Organisational Performance ◽  
Health Network ◽  
Practice Improvement ◽  
Primary Health ◽  
Primary Care Sector

Optimal primary care sector performance is vital for ensuring the delivery of quality health services and effective clinical management of populations. The Primary Care Practice Improvement Tool (PC-PIT) incorporates subjective staff input and objective indicators to measure 13 elements of organisational performance. This study aimed to measure change in organisational performance for general practices using the PC-PIT with Primary Health Network (PHN) support. A pre-post design was used for changes in PC-PIT subjective and objective scores. Practices used results with PHN support to complete two Plan Do Study Act initiatives and were reassessed 9-months later. PC-PIT scales were dichotomised into lower and higher scores, with odds ratios used to determine effect size. Staff survey response rates were 55.4% at baseline and 50.1% at follow up. There were modest increases in the likelihood of staff rating several elements higher at follow up. When implemented with PHN support staff, the PC-PIT has the potential for effective, focussed and sustained quality improvement, with capacity to support Health Care Home model transition and implementation.

scholarly journals Development and pilot study of the Primary Care Practice Improvement Tool (PC‐PIT): an innovative approach

2014 ◽  
Vol 201 (S3) ◽  
Author(s):  
Lisa Crossland ◽  
Tina Janamian ◽  
Mary Sheehan ◽  
Victor Siskind ◽  
Julie Hepworth ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Primary Care Practice ◽  
Innovative Approach ◽  
Care Practice ◽  
Practice Improvement

scholarly journals Six Basic Clinical Principles of Primary Care Practice

2019 ◽  
Author(s):  
John Yang Lee ◽  
Yingying Liu
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Key Words ◽  
Primary Care Practice ◽  
Care Practice ◽  
Patient Centered ◽  
Primary Health ◽  
Clinical Thinking

Abstract BACKGROUND: The features of primary care are well described on the dimension of public health. Primary care clinicians consist of a large portion of health-care workforce. To guide clinical thinking in primary care practice, its basic clinical principles should be synthesized. METHODS: We searched literature in PubMed, MEDLINE, China National Knowledge Infrastructure, and Wanfang Med Online, using the key words of “primary care practice”, “primary care”, “primary health care”, “general practice” in combination with “principle”, “ideal”, “description”, “characteristic” and “feature” to synthesize basic clinical principles of primary care practice. RESULTS: Six basic clinical principles of primary care practice are synthesized. 1. Holistic: includes holism, whole person care, bio-psycho-social model, lateral clinical thinking, and overcoming fragmented specialization. 2. Integrative: consists of combination of orthodox and complementary medicine, coordinated care, and practicing holistic integrated medicine(HIM). 3. Continuous: deals with continuous clinician-patient relationship, seamless services, life-cycle medical services, and full medical care at any time and place. 4. Preventive: contains undifferentiated disease care, health habit counseling, screening for asymptomatic diseases, and immunization. 5. Patient-centered: comprises responsive to individual patient needs and values, people-oriented care, and practicing Patient Centered Medical Home (PCMH). 6. Standardized: involves use of evidence-based medicine (EBM), following the clinical guideline, and applying clinical pathway. CONCLUSION: The six basic clinical principles of primary care practice are holistic, integrative, continuous, preventive, patient-centered and standardized care. They might be the backbone of primary care practice and be recommended to be used to construct the disciplinary knowledge of clinical primary care practice. KEY WORDS: Primary care practice, primary care, primary health care, general practice.

Development and implementation of a culturally tailored early childhood program in an integrated pediatric primary care practice.

2020 ◽  
Vol 8 (3) ◽  
pp. 288-297
Author(s):  
Tyanna C. Snider ◽  
Whitney J. Raglin Bignall ◽  
Cody A. Hostutler ◽  
Ariana C. Hoet ◽  
Bethany L. Walker ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
Primary Care Practice ◽  
Pediatric Primary Care ◽  
Care Practice ◽  
Early Childhood Program ◽  
Culturally Tailored ◽  
Childhood Program
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