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Research ArticleOriginal Research

The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative

Jennifer R. Hemler, Samuel T. Edwards, Steele Valenzuela, Andrea Baron, Jennifer D. Hall, Cynthia K. Perry, Bijal A. Balasubramanian, Laura Damschroder, Leif I. Solberg, Benjamin F. Crabtree and Deborah J. Cohen
The Journal of the American Board of Family Medicine January 2022, 35 (1) 124-139; DOI: https://doi.org/10.3122/jabfm.2022.01.210205
Jennifer R. Hemler
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
PhD
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Samuel T. Edwards
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MD, MPH
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Steele Valenzuela
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MS
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Andrea Baron
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MPH
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Jennifer D. Hall
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MPH
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Cynthia K. Perry
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
PhD, FNP-BC
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Bijal A. Balasubramanian
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MBBS, PhD
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Laura Damschroder
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MPH, MS
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Leif I. Solberg
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
MD
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Benjamin F. Crabtree
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
PhD
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Deborah J. Cohen
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
PhD
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  • Article
  • Figures & Data
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Article Information

vol. 35 no. 1 124-139
DOI 
https://doi.org/10.3122/jabfm.2022.01.210205
PubMed 
35039418

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication May 17, 2021
  • Revision received August 16, 2021
  • Revision received September 16, 2021
  • Accepted for publication September 27, 2021
  • Published online January 16, 2022.

Copyright & Usage 
© Copyright 2022 by the American Board of Family Medicine.

Author Information

  1. Jennifer R. Hemler, PhD,
  2. Samuel T. Edwards, MD, MPH,
  3. Steele Valenzuela, MS,
  4. Andrea Baron, MPH,
  5. Jennifer D. Hall, MPH,
  6. Cynthia K. Perry, PhD, FNP-BC,
  7. Bijal A. Balasubramanian, MBBS, PhD,
  8. Laura Damschroder, MPH, MS,
  9. Leif I. Solberg, MD,
  10. Benjamin F. Crabtree, PhD and
  11. Deborah J. Cohen, PhD
  1. From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Section of General Internal Medicine, Veterans Affairs (VA) Portland Health Care System, Portland, OR (STE); Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR (STE); Department of Family Medicine, Oregon Health & Science University, Portland, OR (STE, SV, AB, JDH, DJC); School of Nursing, Oregon Health & Science University, Portland, OR (CKP); Department of Epidemiology, Human Genetics, and Environmental Science, UTHealth School of Public Health, Dallas, TX (BAB); Implementation Pathways, LLC and VA Center for Clinical Management Research, Ann Arbor, MI (LD); HealthPartners Institute, Minneapolis, MN (LIS).
  1. Corresponding author: Jennifer R. Hemler, PhD, Rutgers Robert Wood Johnson Medical School, 112 Paterson St., Rm 343, New Brunswick, NJ 08901 (E-mail: hemlerje{at}rwjms.rutgers.edu).
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The Journal of the American Board of Family     Medicine: 35 (1)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 1
January/February 2022
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The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative
Jennifer R. Hemler, Samuel T. Edwards, Steele Valenzuela, Andrea Baron, Jennifer D. Hall, Cynthia K. Perry, Bijal A. Balasubramanian, Laura Damschroder, Leif I. Solberg, Benjamin F. Crabtree, Deborah J. Cohen
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 124-139; DOI: 10.3122/jabfm.2022.01.210205

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The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative
Jennifer R. Hemler, Samuel T. Edwards, Steele Valenzuela, Andrea Baron, Jennifer D. Hall, Cynthia K. Perry, Bijal A. Balasubramanian, Laura Damschroder, Leif I. Solberg, Benjamin F. Crabtree, Deborah J. Cohen
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 124-139; DOI: 10.3122/jabfm.2022.01.210205
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