Turning on the care coordination switch in rural primary care: Voices from the practices-clinician champions, clinician partners, administrators, and nurse care managers

Lyle Fagnan, David Dorr, Melinda Davis, Paul McGinnis, Jo Mahler, Molly McCarthy King, Leann Michaels

Research output: Contribution to journalArticle

12 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)304-318
Number of pages15
JournalJournal of Ambulatory Care Management
Issue number3
Publication statusPublished - Jul 2011



  • medical informatics applications
  • nursing care management
  • organizational innovation
  • patient care management
  • patient care team
  • primary care
  • rural

ASJC Scopus subject areas

  • Health Policy

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