The Effect of Primary Care Team Realignment on Point-of-Care Screening

Population Health Management
John J StoeckleGeorge Valko

Abstract

Reporting primary care quality measures is an essential component of value-based care delivery and is part of the strategy to bend the health care cost curve. As primary care physicians are increasingly pressed for time, incorporating ancillary staff screening into pre-visit workflows can increase screening rates, but can pose a challenge in large practice settings. The objective was to improve screening rates for depression and falls risk at a large, urban primary care practice. Jefferson Family Medicine Associates is a practice in downtown Philadelphia that serves 35,000 patients and provides approximately 80,000 visits annually. The majority of patients are African American. Screening responsibilities were realigned within medical assistant workflows, and a training program was designed and implemented to ensure its success and sustainability. Monthly Group Practice Reporting Option data on depression screening and falls risk screening was collected from January 1, 2015, to October 31, 2016. The primary outcome measures were the rate of depression screening and falls risk screening performed for patients who had a visit during the study period. The average monthly depression screening rate changed from 1.41% pre intervention...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Mar 28, 2003·American Journal of Public Health·Kimberly S H YarnallJ Lloyd Michener
Mar 11, 2004·JAMA : the Journal of the American Medical Association·Kevin Grumbach, Thomas Bodenheimer
Jun 9, 2005·Archives of General Psychiatry·Ronald C KesslerEllen E Walters
Sep 18, 2007·Journal of General Internal Medicine·Simon GilbodyCatherine Hewitt
Dec 2, 2009·Annals of Internal Medicine·UNKNOWN U.S. Preventive Services Task Force
Aug 8, 2012·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
Aug 23, 2012·Archives of Internal Medicine·Tait D ShanafeltMichael R Oreskovich
May 22, 2013·Annals of Family Medicine·Christine A SinskyThomas Bodenheimer
Jun 6, 2013·JAMA : the Journal of the American Medical Association·Patrick H ConwayCarolyn Clancy
Mar 13, 2014·Annals of Family Medicine·Thomas BodenheimerKevin Grumbach
Apr 23, 2014·JAMA : the Journal of the American Medical Association·Rahul RajkumarMarilyn Tavenner
Nov 12, 2014·Annals of Family Medicine·Thomas Bodenheimer, Christine Sinsky
Aug 2, 2017·JAMA : the Journal of the American Medical Association·Lena M ChenKaren E Joynt Maddox

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Citations

Nov 30, 2019·Current Osteoporosis Reports·S FrenchGabriela Schmajuk

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