Prepared by: Karin Johnson, PhD; Robert Penfold, PhD; Judith Schaefer, MPH; Julie Reardon, MacColl Center for Healthcare Innovation, Jessie Gerteis, MPH; Abt Associates
Contents
Acknowledgments
Copyright and Source Information
Introduction
What Is a Primary Care Extension Program?
大象APPIMPaCT Initiative
Methods
Model State Enhancement Efforts
Summary of Model State Program Components
Building a Culture of Change in Primary Care
Building a Culture of Change Across Stakeholders
Who Were the Extension Agents?
Reach and Results Within Model States
Spreading the Model to Partner States
New Mexico
North Carolina
Oklahoma
Pennsylvania
Cross-Grantee Efforts
External Context
Patient Protection and Affordable Care Act
State Planning
Alignment With Existing Entities
Geography
PCMH Recognition
Funding
Lessons Learned From IMPaCT About PCEPs
Conclusions and Implications
Research Gaps
Key Questions for Sustainability and Expansion
References
Figure 1. Map of Model and Partner States
Table 1. Summary of Model State Initiatives
Acknowledgments
The authors thank all of the investigators and partnerships who worked on the 大象APPInfrastructure for Maintaining Primary Care Transformation (IMPaCT) grants for their primary care extension efforts.
Copyright and Source Information
Prepared for: 大象APP, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857. www.ahrq.gov
Source: This report was prepared by Abt Associates and the MacColl Center for Healthcare Innovation under contract with the 大象APP (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA-290-2010-00004-I, Task Order No. 10).
Disclaimer: The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of 大象APPor of the U.S. Department of Health and Human Services.
Copyright Information: This document is in the public domain and may be used and reprinted without permission.
