Article Figures & Data
Figures
- Figure 1.
Overview of SERCN PBRN engagement infrastructure building project timeline, activities, and products SERCN, southeast regional clinicians network; PBRN, practice-based research networks.
Tables
Part 1: Quality Improvement and Research Assessment 1. What are the most important health and health care delivery issues that face providers, health systems, community members, and local organizations in your service area 2. What efforts/projects are underway currently to work on improving outcomes in these areas? 3. What types of projects or efforts do you wish were underway in your community? What types of projects are priorities for the future for your primary care association or center? 4. How might SERCN best help with the implementation, dissemination, or funding of projects underway in your state? 5. How are patient values and community values currently incorporated in to designing ways to look at and solve issues around health and health care delivery in your community/practice site/organization? 6. Are there important stakeholders in your service areas who do not currently have a voice in efforts to improve health or health care delivery? How could this be different or more inclusive? 7. What is the biggest barrier you face to participating in quality improvement or patient centered research? What might be done to break down these barriers? Part 2: Educational and Reciprocal Needs 1. What are some key educational and continuing education needs of your organization or members that SERCN might meet? 2. What would be the best venue to meet those needs? 3. What other services could SERCN offer that would help build a reciprocal relationship between our organizations? (inclusion on projects, continuing education, conferences, technical support) What would that look like? SERCN, southeast regional clinicians network.
1. Support health center infrastructure, sustainability, and mission to improve health outcomes. Staff wellbeing and retention Workforce development Strive for unified standard of care 2. Measure the FQHC impact on broad economic, health, and utilization outcomes. Test meaningful outcome measures Whole person outcomes Leverage socioeconomic strengths of FQHCs Explore return on investment of FQHCs 3. Prioritize work that is meaningful to patients and communities. Focus on system navigation and care transitions Link with community organizations Prioritize projects that address care of the whole person 4. Support streamlining data infrastructure in FQHCs. Align research with existing quality measures Support autonomy of FQHCs to drive unified quality measures across payors SERCN should be aware of current quality and data priorities in the network 5. Mental and behavioral health integration in the primary care safety net setting. Specific focus on substance use disorder treatment and prevention 6. Study and test care delivery models for medically and socially complex populations. Chronic disease management Self-management and adherence Standardized care to promote equity Translate lessons from practice to support evidence FQHC, federally qualified health center; SERCN, southeast regional clinicians network.
- Table 3.
SERCN Stakeholder-Defined Research Agenda: Research Processes and Collaborative Principles
SERCN Guiding Principles for Research Processes Project identification Vet ideas with stakeholders Encourage ideas from all levels of the network Project design and implementation Focus on streamlining processes instead of adding to workflow Prioritize sustainability Recruitment Practice facilitation is needed to help with recruitment Data collection Minimize data collection burden for the health center Data should be meaningful across stakeholders Results reporting Should be transparent and inclusive Prioritize dissemination to participants Package results to be interpretable to broad audiences Results interpretation Interpret in the spirit of transparency and inclusiveness Goal to send for review to a broad group of stakeholders Dissemination Potential outlets include regional meetings, local journals, webinars for clinicians, primary care association newsletters Dissemination should be shared and claimed by as broad a group of stakeholders as possible Leverage work as a tool to recruit broader participation in the network SERCN Collaborative Principles for Working Together Learn from each other and magnify successes across the region Credit and recognize people for the work they do Be mutually committed to collaboration Create an environment of trust and transparency Build a clearinghouse of best practices and scalable models Have regular communication including a yearly in person meeting and quarterly conference call Be informed and mindful of each other's time constraints and competing priorities Employ a clover leaf style of communication. SERCN will trust primary care associations to select priorities and we will value bidirectional communication where the hub is not the most important or the originator of ideas. FQHC, federally qualified health center; SERCN, southeast regional clinicians network.
Organizational Level Barriers Facilitators Research network Lack of data uniformity Robust knowledge base Competing priorities and time Track record of successful collaboration Need for effective communication platform Good leadership Challenges for IRB processes Credibility and resources PCA Can only serve as a connector between network and FQHCs Dedicated staff with experience and commitment to the network If projects are not sustainable, then difficult to recruit FQHCs Strong history of collaboration regionally Strong relationships with FQHCs Successful at engaging consumers Effective communication strategies Strong policy and advocacy platform FQHC Limited staffing to support research Strong public health infrastructure Data infrastructure is limited Community based organizations Competing priorities Strong ties to community High turnover and burnout rate of staff/providers Population diversity Provider Change fatigue
Provider retention and turnover
Provider burnout
Providers are under resourcedFQHC's leadership in the arena of quality of care measurement, pay for performance Data-rich environment Electronic health record systems and population management tools Platform for direct patient engagement FQHCs are advocates in the community Existing integrated care models Patient and community level Mistrust/fear of research Diversity of services Transportation needs Cultural diversity Need adequate compensation
Lack of time and resources to participateMedical knowledge and front-line experience can inform research questions and interpretation FQHC, federally qualified health center; IRB, institutional review board; PCA, primary care association; SERCN, southeast regional clinicians network.
In this issue
Jump to section
- Article
- Abstract
- One Network Example: The Southeast Regional Clinicians Network
- Identifying and Engaging Stakeholders Around Research and Training Priorities
- Leveraging Engagement Infrastructure to Establish a Stakeholder-Defined Research Agenda
- Discussion and Potential Applications of this Approach
- Acknowledgments
- Appendix
- Notes
- References
- Figures & Data
- References
- Info & Metrics
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