Table 4.

Multilevel Facilitators and Barriers to Implementing the SERCN Research Agenda

Organizational LevelBarriersFacilitators
Research networkLack of data uniformityRobust knowledge base
Competing priorities and timeTrack record of successful collaboration
Need for effective communication platformGood leadership
Challenges for IRB processesCredibility and resources
PCACan only serve as a connector between network and FQHCsDedicated staff with experience and commitment to the network
If projects are not sustainable, then difficult to recruit FQHCsStrong history of collaboration regionally
Strong relationships with FQHCs
Successful at engaging consumers
Effective communication strategies
Strong policy and advocacy platform
FQHCLimited staffing to support researchStrong public health infrastructure
Data infrastructure is limitedCommunity based organizations
Competing prioritiesStrong ties to community
High turnover and burnout rate of staff/providersPopulation diversity
ProviderChange fatigue
Provider retention and turnover
Provider burnout
Providers are under resourced
FQHC'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 levelMistrust/fear of researchDiversity of services
Transportation needsCultural diversity
Need adequate compensation
Lack of time and resources to participate
Medical 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.