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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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References

  1. 1.↵
    Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm. Washington, DC: National Academies Press (US); 2001.
  2. 2.↵
    1. Berwick DM
    . A user's manual for the IOM's ‘Quality Chasm’ report. Health Aff (Millwood) 2002;21:80–90.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. Abrams M,
    2. Nuzum R,
    3. Mika S,
    4. Lawlor G
    . Realizing health reform's potential. New York: The Commonwealth Fund; 2011.
  4. 4.↵
    1. Burke T
    . The health information technology provisions in the American Recovery and Reinvestment Act of 2009: implications for public health policy and practice. Public Health Rep 2010;125:141–5.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Wagner EH,
    2. Austin BT,
    3. Davis C,
    4. Hindmarsh M,
    5. Schaefer J,
    6. Bonomi A
    . Improving chronic illness care: translating evidence into action. Health Aff (Millwood) 2001;20:64–78.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Bodenheimer T
    . Innovations in primary care in the United States (Primary Care in the United States). BMJ 2003;326:796–800.
    OpenUrlFREE Full Text
  7. 7.↵
    1. Solberg LI
    . Improving medical practice: a conceptual framework. Ann Fam Med 2007;5:251–6.
    OpenUrlAbstract/FREE Full Text
  8. 8.↵
    1. Fisher ES
    . Building a medical neighborhood for the medical home. N Engl J Med 2008;359:1202–5.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Bodenheimer T,
    2. Pham HH
    . Primary care: current problems and proposed solutions. Health Aff (Millwood) 2010;29:799–805.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Nutting PA,
    2. Crabtree BF,
    3. Miller WL,
    4. Stange KC,
    5. Stewart E,
    6. Jaén C
    . Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff (Millwood) 2011;30:439–45.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Sidorov JE
    . The patient-centered medical home for chronic illness: is it ready for prime time? Health Aff (Millwood) 2008;27:1231–4.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Davy C,
    2. Bleasel J,
    3. Liu H,
    4. Tchan M,
    5. Ponniah S,
    6. Brown A
    . Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review. BMC Health Serv Res 2015;15:1–11.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Reynolds R,
    2. Dennis S,
    3. Hasan I,
    4. et al
    . A systematic review of chronic disease management interventions in primary care. BMC Fam Pract 2018;19:1–13.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Jensen RE,
    2. Rothrock NE,
    3. DeWitt EM,
    4. et al
    . The role of technical advances in the adoption and integration of patient-reported outcomes in clinical care. Med Care 2015;53:153–9.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Colla CH,
    2. Fisher ES
    . Beyond PCMHs and accountable care organizations: payment reform that encourages customized care. In: Springer; 2014.
  16. 16.↵
    Centers for Medicare & Medicaid Services (CMS). HHS. Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) incentive under the physician fee schedule, and criteria for physician-focused payment models. Final rule with comment period 2016;81:77008.
    OpenUrl
  17. 17.↵
    1. Kissam SM,
    2. Beil H,
    3. Cousart C,
    4. Greenwald LM,
    5. Lloyd JT
    . States encouraging value‐based payment: lessons from CMS's State Innovation Models Initiative. Milbank Q 2019;97:506–42.
    OpenUrl
  18. 18.↵
    1. Casalino LP
    . The Medicare access and CHIP Reauthorization Act and the corporate transformation of American medicine. Health Aff (Millwood) 2017;36:865–9.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Rosenthal MB,
    2. Dudley RA
    . Pay-for-performance: will the latest payment trend improve care? JAMA 2007;297:740–4.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.↵
    1. Shortell SM,
    2. Waters TM,
    3. Clarke KW,
    4. Budetti PP
    . Physicians as double agents: maintaining trust in an era of multiple accountabilities. JAMA 1998;280:1102–8.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Grimshaw J,
    2. Eccles M,
    3. Thomas R,
    4. et al
    . Toward evidence-based quality improvement. J Gen Intern Med 2006;21:S14–S20.S14.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Weisz G,
    2. Cambrosio A,
    3. Keating P,
    4. Knaapen L,
    5. Schlich T,
    6. Tournay VJ
    . The emergence of clinical practice guidelines. Milbank Q 2007;85:691–727.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Shojania KG,
    2. Grimshaw JM
    . Evidence-based quality improvement: the state of the science. Health Aff (Millwood) 2005;24:138–50.
    OpenUrlAbstract/FREE Full Text
  24. 24.↵
    1. Tricoci P,
    2. Allen JM,
    3. Kramer JM,
    4. Califf RM,
    5. Smith SC
    . Scientific evidence underlying the ACC/AHA clinical practice guidelines. JAMA 2009;301:831–41.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Reddy S,
    2. Wakerman J,
    3. Westhorp G,
    4. Herring S
    . Evaluating impact of clinical guidelines using a realist evaluation framework. J Eval Clin Pract 2015;21:1114–20.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Stroebel CK,
    2. McDaniel RR Jr.,
    3. Crabtree BF,
    4. Miller WL,
    5. Nutting PA,
    6. Stange KC
    . How complexity science can inform a reflective process for improvement in primary care practices. Jt Comm J Qual Patient Saf 2005;31:438–46.
    OpenUrlPubMed
  27. 27.↵
    1. Goldberg DG,
    2. Soylu TG,
    3. Kitsantas P,
    4. Grady VM,
    5. Elward K,
    6. Nichols LM
    . Burnout among primary care providers and staff: evaluating the association with practice adaptive reserve and individual behaviors. J Gen Intern Med 2021;36:1222–8.
    OpenUrl
  28. 28.↵
    1. Cohen D,
    2. McDaniel RR,
    3. Crabtree BF,
    4. et al
    . A practice change model for quality improvement in primary care practice. J Healthc Manag 2004;49:155.
    OpenUrlPubMedWeb of Science
  29. 29.↵
    1. Gupta DM,
    2. Boland RJ,
    3. Aron DC
    . The physician's experience of changing clinical practice: a struggle to unlearn. Implement Sci 2017;12:1–11.
    OpenUrlCrossRefPubMed
  30. 30.↵
    1. Grumbach K,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Willard-Grace R
    . A longitudinal study of trends in burnout during primary care transformation. Ann Fam Med 2019;17:S9–S16.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Willard-Grace R,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Grumbach K
    . Primary care clinician burnout and engagement association with clinical quality and patient experience. J Am Board Fam Med 2021;34:542–52.
    OpenUrlAbstract/FREE Full Text
  32. 32.↵
    1. Busari JO,
    2. Onitilo AA
    . Fact or Fable: The Truth about Physician Engagement and Burnout. In: Marshfield Clinic; 2020.
  33. 33.↵
    1. Crabtree BF,
    2. Nutting PA,
    3. Miller WL,
    4. et al
    . Primary care practice transformation is hard work: insights from a 15-year developmental program of research. Medical Care 2011;49:S28–S35.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Wolfson D,
    2. Bernabeo E,
    3. Leas B,
    4. Sofaer S,
    5. Pawlson G,
    6. Pillittere D
    . Quality improvement in small office settings: an examination of successful practices. BMC Fam Pract 2009;10:14.
    OpenUrlCrossRefPubMed
  35. 35.↵
    1. Meyers DS,
    2. Clancy CM
    . Primary care: too important to fail. Ann Intern Med 2009;150:272–3.
    OpenUrlCrossRefPubMedWeb of Science
  36. 36.↵
    1. Rittenhouse DR,
    2. Casalino LP,
    3. Shortell SM,
    4. et al
    . Small and medium-size physician practices use few patient-centered medical home processes. Health Aff (Millwood) 2011;30:1575–84.
    OpenUrlAbstract/FREE Full Text
  37. 37.↵
    1. Nutting PA,
    2. Crabtree BF,
    3. McDaniel RR
    . Small primary care practices face four hurdles—including a physician-centric mind-set—in becoming medical homes. Health Aff (Millwood) 2012;31:2417–22.
    OpenUrlAbstract/FREE Full Text
  38. 38.↵
    1. Casalino LP
    . Technical assistance for primary care practice transformation: free help to perform unpaid labor? Ann Fam Med 2018;16:S12–S15.
    OpenUrlFREE Full Text
  39. 39.↵
    1. Noel PH,
    2. Romero RL,
    3. Robertson M,
    4. Parchman ML
    . Key activities used by community based primary care practices to improve the quality of diabetes care in response to practice facilitation. Qual Prim Care 2014;22:211–9.
    OpenUrl
  40. 40.↵
    1. Dyrbye LN,
    2. Shanafelt TD
    . Physician burnout: a potential threat to successful health care reform. JAMA 2011;305:2009–10.
    OpenUrlCrossRefPubMedWeb of Science
  41. 41.↵
    1. Shanafelt TD,
    2. Boone S,
    3. Tan L,
    4. et al
    . Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012;172:1377–85.
    OpenUrlCrossRefPubMedWeb of Science
  42. 42.↵
    1. Shanafelt TD,
    2. Hasan O,
    3. Dyrbye LN,
    4. et al
    . Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 2015;90:1600–13.
    OpenUrlCrossRefPubMed
  43. 43.↵
    1. Edwards ST,
    2. Marino M,
    3. Balasubramanian BA,
    4. et al
    . Burnout among physicians, advanced practice clinicians and staff in smaller primary care practices. J Gen Intern Med 2018;33:2138–46.
    OpenUrlCrossRef
  44. 44.↵
    1. Willard-Grace R,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Grumbach K
    . Burnout and health care workforce turnover. Ann Fam Med 2019;17:36–41.
    OpenUrlAbstract/FREE Full Text
  45. 45.↵
    Regional Extension Centers (RECs). Department of Health and Human Services. Available at: https://www.healthit.gov/providersprofessionals/rec-history. Updated November 7, 2018. Accessed August 3, 2020.
  46. 46.↵
    Quality Improvement Organizations Centers for Medicare and Medicaid Services. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/index.html?redirect=/qualityimprovementorgs/. Updated February 11, 2020. Accessed August 3, 2020.
  47. 47.↵
    1. Mold JW,
    2. Peterson KA
    . Primary care practice-based research networks: working at the interface between research and quality improvement. Ann Fam Med 2005;3:S12–S20.
    OpenUrlAbstract/FREE Full Text
  48. 48.↵
    Quality Improvement in Primary Care. Agency for Healthcare Research and Quality. Available at: https://www.ahrq.gov/research/findings/factsheets/quality/qipc/index.html. Updated April 2020.
  49. 49.↵
    Practice Facilitation Agency for Healthcare Research and Quality. Patient Centered Medical Home Resource Center Web site. Available at: https://pcmh.ahrq.gov/page/practice-facilitation. Accessed August 8, 2020.
  50. 50.↵
    Module 4. Approaches to Quality Improvement. Agency for Healthcare Research and Quality. Available at: https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod4.html. Updated May 2013. Accessed August 3, 2020.
  51. 51.↵
    IHI Timeline. Institute for Healthcare Improvement. Available at: http://www.ihi.org/about/Documents/IHI_Timeline_2018.pdf. Updated 2020. Accessed August 3, 2020.
  52. 52.↵
    1. Baskerville NB,
    2. Liddy C,
    3. Hogg W
    . Systematic review and meta-analysis of practice facilitation within primary care settings. Ann Fam Med 2012;10:63–74.
    OpenUrlAbstract/FREE Full Text
  53. 53.↵
    1. Grumbach K,
    2. Bainbridge E,
    3. Bodenheimer T
    . Facilitating improvement in primary care: the promise of practice coaching. Issue Brief (Commonw Fund) 2012;15:1–14.
    OpenUrlPubMed
  54. 54.↵
    1. Knox L,
    2. Taylor EF,
    3. Geonnotti K,
    4. et al
    . Developing and running a primary care practice facilitation program: a how-to guide. Mathematica Policy Research; 2011.
  55. 55.↵
    1. Phillips RL,
    2. Cohen DJ,
    3. Kaufman A,
    4. Dickinson WP,
    5. Cykert S
    . Facilitating Practice Transformation in Frontline Health Care. In: Annals Family Med; 2019.
  56. 56.↵
    1. Sweeney SM,
    2. Hemler JR,
    3. Baron AN,
    4. et al
    . Dedicated workforce required to support large-scale practice improvement. J Am Board Fam Med 2020;33:230–9.
    OpenUrlAbstract/FREE Full Text
  57. 57.↵
    1. Wang A,
    2. Pollack T,
    3. Kadziel LA,
    4. et al
    . Impact of practice facilitation in primary care on chronic disease care processes and outcomes: a systematic review. J Gen Intern Med 2018;33:1968–77.
    OpenUrl
  58. 58.↵
    1. Howard J,
    2. Shaw EK,
    3. Clark E,
    4. Crabtree BF
    . Up close and (inter)personal: insights from a primary care practice's efforts to improve office relationships over time, 2003–2009. Qual Manag Health Care 2011;20:49–61.
    OpenUrlPubMed
  59. 59.↵
    1. Goetz DG,
    2. Kuzel AJ,
    3. Feng LB,
    4. DeShazo JP,
    5. Love LE
    . EHRs in primary care practices: benefits, challenges, and successful strategies. Am J Managed Care 2012;18:e48-54–e54.
    OpenUrl
  60. 60.↵
    1. Kadu MK,
    2. Stolee P
    . Facilitators and barriers of implementing the chronic care model in primary care: a systematic review. BMC Fam Pract 2015;16:12.
    OpenUrlPubMed
  61. 61.↵
    1. Mold JW,
    2. Walsh M,
    3. Chou AF,
    4. Homco JB
    . The alarming rate of major disruptive events in primary care practices in Oklahoma. Ann Fam Med 2018;16:S52–S57.
    OpenUrlAbstract/FREE Full Text
  62. 62.↵
    1. Olmos-Ochoa TT,
    2. Ganz DA,
    3. Barnard JM,
    4. Penney LS,
    5. Chawla N
    . Sustaining effective quality improvement: building capacity for resilience in the practice facilitator workforce. BMJ Qual Saf 2019;28:1016–20.
    OpenUrlFREE Full Text
  63. 63.↵
    1. Russell G,
    2. Lane R,
    3. Parker S
    , Preventive Evidence into Practice (PEP) Partnership Group, et al. Preventive evidence into practice: what factors matter in a facilitation intervention to prevent vascular disease in family practice? BMC Fam Pract 2019;20:113.
    OpenUrl
  64. 64.↵
    1. Ruhe M,
    2. Gotler RS,
    3. Goodwin MA,
    4. Stange KC
    . Physician and staff turnover in community primary care practice. J Ambul Care Manage 2004;27:242–8.
    OpenUrlCrossRefPubMed
  65. 65.↵
    1. Friedman JL,
    2. Neutze D
    . The financial cost of medical assistant turnover in an academic family medicine center. J Am Board Fam Med 2020;33:426–30.
    OpenUrlAbstract/FREE Full Text
  66. 66.↵
    1. Baron AN,
    2. Hemler JR,
    3. Sweeney SM,
    4. et al
    . Effects of practice turnover on primary care quality improvement implementation. Am J Med Qual 2020;35:16–22.
    OpenUrl
  67. 67.↵
    1. Parchman ML,
    2. Noel PH,
    3. Culler SD,
    4. et al
    . A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects. Implement Sci 2013;8.
  68. 68.↵
    Division for Heart Disease and Stroke Prevention. Million Hearts(R) Center for Disease Control and Prevention. Available at: https://millionhearts.hhs.gov/data-reports/factsheets/ABCS.html. Updated July 13, 2020. Accessed October 4, 2020.
  69. 69.↵
    EvidenceNOW: Evaluation Measures. Agency for Healthcare Research and Quality. Available at: https://www.ahrq.gov/evidencenow/research-results/research/methods/measures.html. Updated August 2018. Accessed August 9, 2020.
  70. 70.↵
    Cooperatives. Available at: https://www.ahrq.gov/evidencenow/projects/heart-health/about/index.html. Updated May 2021. Accessed August 9, 2020.
  71. 71.↵
    About EvidenceNOW: Background and Stories from the Field. Agency for Healthcare Research and Quality. Available at: https://www.ahrq.gov/evidencenow/about/index.html. Updated May 2019. Accessed August 8, 2020.
  72. 72.↵
    1. Ciolino JD,
    2. Jackson KL,
    3. Liss DT,
    4. et al
    . Design of healthy hearts in the heartland (H3): a practice-randomized, comparative effectiveness study. Contemp Clin Trials 2018;71:47–54.
    OpenUrl
  73. 73.↵
    1. Shelley DR,
    2. Ogedegbe G,
    3. Anane S,
    4. et al
    . Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC. Implement Sci 2015;11:88.
    OpenUrl
  74. 74.↵
    1. Weiner BJ,
    2. Pignone MP,
    3. DuBard CA,
    4. et al
    . Advancing heart health in North Carolina primary care: the Heart Health NOW study protocol. Implement Sci 2015;10:160.
    OpenUrl
  75. 75.↵
    1. Parchman ML,
    2. Fagnan LJ,
    3. Dorr DA,
    4. et al
    . Study protocol for “Healthy Hearts Northwest”: a 2×2 randomized factorial trial to build quality improvement capacity in primary care. Implement Sci 2016;11:138.
    OpenUrl
  76. 76.↵
    1. Chou AF,
    2. Homco JB,
    3. Nagykaldi Z,
    4. et al
    . Disseminating, implementing, and evaluating patient-centered outcomes to improve cardiovascular care using a stepped-wedge design: healthy hearts for Oklahoma. BMC Health Serv Res 2018;18:404.
    OpenUrl
  77. 77.↵
    1. Perry CK,
    2. Damschroder LJ,
    3. Hemler JR,
    4. Woodson TT,
    5. Ono SS,
    6. Cohen DJ
    . Specifying and comparing implementation strategies across seven large implementation interventions: a practical application of theory. Implement Sci 2019;14:32.
    OpenUrlPubMed
  78. 78.↵
    1. Nutting PA,
    2. Crabtree BF,
    3. Miller WL,
    4. Stewart EE,
    5. Stange KC,
    6. Jaén CR
    . Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med 2010;8 Suppl 1:S45–56; S92.
    OpenUrlAbstract/FREE Full Text
  79. 79.↵
    1. Miller WL,
    2. Crabtree BF,
    3. Nutting PA,
    4. Stange KC,
    5. Jaen CR
    . Primary care practice development: a relationship-centered approach. Ann Fam Med 2010;8 Suppl 1:S68–79; S92.
    OpenUrlAbstract/FREE Full Text
  80. 80.↵
    1. Nguyen AM,
    2. Cuthel A,
    3. Padgett DK,
    4. et al
    . How practice facilitation strategies differ by practice context. J Gen Intern Med 2020;35:824–31.
    OpenUrl
  81. 81.↵
    1. Hemler JR,
    2. Hall JD,
    3. Cholan RA,
    4. et al
    . Practice facilitator strategies for addressing electronic health record data challenges for quality improvement: EvidenceNOW. J Am Board Fam Med 2018;31:398–409.
    OpenUrlAbstract/FREE Full Text
  82. 82.↵
    1. Ryan MS,
    2. Shih SC,
    3. Winther CH,
    4. Wang JJ
    . Does it get easier to use an EHR? Report from an urban regional extension center. J Gen Intern Med 2014;29:1341–8.
    OpenUrlCrossRefPubMed
  83. 83.↵
    1. Welch WP,
    2. Cuellar AE,
    3. Stearns SC,
    4. Bindman AB
    . Proportion of physicians in large group practices continued to grow in 2009–11. Health Aff (Millwood) 2013;32:1659–66.
    OpenUrlAbstract/FREE Full Text
  84. 84.↵
    1. Muhlestein DB,
    2. Smith NJ
    . Physician consolidation: rapid movement from small to large group practices, 2013–15. Health Aff (Millwood) 2016;35:1638–42.
    OpenUrlAbstract/FREE Full Text
  85. 85.↵
    1. Ye J,
    2. Zhang R,
    3. Bannon JE,
    4. et al
    . Identifying practice facilitation delays and barriers in primary care quality improvement: a report from Evidence NOW. J Am Board Fam Med 2020;33:655–64.
    OpenUrlAbstract/FREE Full Text
  86. 86.↵
    1. Berry CA,
    2. Nguyen AM,
    3. Cuthel AM,
    4. et al
    . Measuring implementation strategy fidelity in HealthyHearts NYC: a complex intervention using practice facilitation in primary care. Am J Med Qual 2021;36:270–6.
    OpenUrl
  87. 87.↵
    1. Halladay JR,
    2. Weiner BJ,
    3. Kim JI,
    4. et al
    . Practice level factors associated with enhanced engagement with practice facilitators: findings from the Heart Health Now study. BMC Health Serv Res 2020;20:1–11.
    OpenUrlCrossRefPubMed
  88. 88.↵
    1. Ferrante JM,
    2. Shaw EK,
    3. Bayly JE,
    4. et al
    . Barriers and facilitators to expanding roles of medical assistants in Patient-Centered Medical Homes (PCMHs). J Am Board Fam Med 2018;31:226–35.
    OpenUrlAbstract/FREE Full Text
  89. 89.↵
    1. Mosadeghrad AM,
    2. Ferdosi M,
    3. Afshar H,
    4. Hosseini-Nejhad SM
    . The impact of top management turnover on quality management implementation. Med Arch 2013;67:134–40.
    OpenUrl
  90. 90.↵
    1. Balasubramanian BC,
    2. Marino M,
    3. Springer R,
    4. et al
    . Capacity for Practice Change, Quality Improvement, and Facilitation to Improve Cardiovascular Preventive Care in Primary Care. 48th Annual Proceedings of the North American Primary Care Research Group; Nov 22–4, 2020; Virtual Meeting.
  91. 91.↵
    1. Cohen DJ,
    2. Crabtree BF,
    3. Etz RS,
    4. et al
    . Fidelity versus flexibility: translating evidence-based research into practice. Am J Prev Med 2008;35:S381–89.
    OpenUrlCrossRefPubMedWeb of Science
  92. 92.↵
    1. Bosch M,
    2. Van Der Weijden T,
    3. Wensing M,
    4. Grol R
    . Tailoring quality improvement interventions to identified barriers: a multiple case analysis. J Eval Clin Pract 2007;13:161–8.
    OpenUrlCrossRefPubMedWeb of Science
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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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