No Evidence That Primary Care Physicians Offer Less Care To Medicaid, Community Health Center, Or Uninsured Patients

2013 ◽  
Vol 32 (9) ◽  
pp. 1624-1630 ◽  
Author(s):  
Brian K. Bruen ◽  
Leighton Ku ◽  
Xiaoxiao Lu ◽  
Peter Shin
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Primary Care Physicians ◽  
Community Health Center ◽  
Uninsured Patients

scholarly journals Capturing Relevant Patient Data in Clinical Encounters Through Integration of an Electronic Patient-Reported Outcome System Into Routine Primary Care in a Boston Community Health Center: Development and Implementation Study (Preprint)

2019 ◽  
Author(s):  
Stephanie Loo ◽  
Chris Grasso ◽  
Jessica Glushkina ◽  
Justin McReynolds ◽  
William Lober ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Improve Patient Care ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Patient Provider Communication ◽  
Improve Patient

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.

Increase in Contraceptive Counseling by Primary Care Clinicians After Implementation of One Key Question® at an Urban Community Health Center

2019 ◽  
Vol 23 (8) ◽  
pp. 996-1002 ◽  
Author(s):  
Debra B. Stulberg ◽  
Irma H. Dahlquist ◽  
Judith Disterhoft ◽  
Jennifer K. Bello ◽  
Michele Stranger Hunter
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Urban Community ◽  
Community Health Center ◽  
Contraceptive Counseling ◽  
Primary Care Clinicians

Perceptions of Community Health Center Impact on Private Primary Care Physician Practice

2014 ◽  
Vol 20 (6) ◽  
pp. 626-631
Author(s):  
Christopher Duffrin ◽  
Natalie Jackson ◽  
Lauren Whetstone ◽  
Doyle Cummings ◽  
Ricky Watson ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Primary Care Physician ◽  
Community Health Center ◽  
Care Physician ◽  
Physician Practice

Assessing Primary Care Content: Four Conditions Common in Community Health Center Practice

2000 ◽  
Vol 23 (1) ◽  
pp. 23-38 ◽  
Author(s):  
Cheryl Ulmer ◽  
Deborah Lewis-Idema ◽  
Ann Von Worley ◽  
Judy Rodgers ◽  
Lawrence R. Berger ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Center

Primary Care Nursing Role and Care Coordination: An Observational Study of Nursing Work in a Community Health Center

2012 ◽  
Vol 17 (2) ◽  
Author(s):  
Daren Anderson ◽  
Daniel St. Hilaire ◽  
Margaret Flinter
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Community Health ◽  
Health Center ◽  
Care Coordination ◽  
Community Health Center ◽  
Medication Administration ◽  
Nursing Time ◽  
Care Nursing ◽  
Primary Care Nursing

Care coordination is a core element of the Patient-Centered Medical Home and requires an effective, well educated nursing staff. A greater understanding of roles and tasks currently being carried out by nurses in primary care is needed to help practices determine how best to implement care coordination and transform into PCMHs. We conducted an observational study of primary care nursing in a Community Health Center by creating a classification schema for nursing responsibilities, directly observing and tracking nurses' work, and categorizing their activities. Ten nurses in eight different practice sites were observed for a total of 61 hours. The vast majority of nursing time was spent in vaccine and medication administration; telephone work; and charting and paper work, while only 15% of their time was spent in activity that was classified broadly as care coordination. Care coordination work appeared to be subsumed by other daily tasks, many of which could have been accomplished by other, lesser trained members of the health care team. Practices looking to implement care coordination need a detailed look at work flow, task assignments, and a critical assessment of staffing, adhering to the principal of each team member working to the highest level of his or her education and license. Care coordination represents a distinct responsibility that requires dedicated nursing time, separate from the day to day tasks in a busy practice. To fully support these new functions, reimbursement models are needed that support such non visit-based work and provide incentives to coordinate and manage complex cases, achieve improved clinical outcomes and enhance efficiency of the health system. This article describes our study methods, data collection, and analysis, results, and discussion about reorganizing nursing roles to promote care coordination.

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