TY - JOUR
T1 - Turning on the care coordination switch in rural primary care
T2 - Voices from the practices-clinician champions, clinician partners, administrators, and nurse care managers
AU - Fagnan, Lyle J.
AU - Dorr, David A.
AU - Davis, Melinda
AU - McGinnis, Paul
AU - Mahler, Jo
AU - King, Molly Mc Carthy
AU - Michaels, Leann
PY - 2011/7
Y1 - 2011/7
N2 - This study sought to understand the acceptability and feasibility of office-based nurse care management in medium to large rural primary care practices. A qualitative assessment of Care Management Plus (a focused medical home model for complex patients) implementation was conducted using semistructured interviews with 4 staff cohorts. Cohorts included clinician champions, clinician partners, practice administrators, and nurse care managers. Seven key implementation attributes were: a proven care coordination program; adequate staffing; practice buy-in; adequate time; measurement; practice facilitation; and functional information technology. Although staff was positive about the care coordination concept, model acceptability was varied and additional study is required to determine sustainability.
AB - This study sought to understand the acceptability and feasibility of office-based nurse care management in medium to large rural primary care practices. A qualitative assessment of Care Management Plus (a focused medical home model for complex patients) implementation was conducted using semistructured interviews with 4 staff cohorts. Cohorts included clinician champions, clinician partners, practice administrators, and nurse care managers. Seven key implementation attributes were: a proven care coordination program; adequate staffing; practice buy-in; adequate time; measurement; practice facilitation; and functional information technology. Although staff was positive about the care coordination concept, model acceptability was varied and additional study is required to determine sustainability.
KW - medical informatics applications
KW - nursing care management
KW - organizational innovation
KW - patient care management
KW - patient care team
KW - primary care
KW - rural
UR - http://www.scopus.com/inward/record.url?scp=79959763922&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79959763922&partnerID=8YFLogxK
U2 - 10.1097/JAC.0b013e31821c63ee
DO - 10.1097/JAC.0b013e31821c63ee
M3 - Article
C2 - 21673531
AN - SCOPUS:79959763922
SN - 0148-9917
VL - 34
SP - 304
EP - 318
JO - Journal of Ambulatory Care Management
JF - Journal of Ambulatory Care Management
IS - 3
ER -