Multimethod Evaluation of the VA’s Peer-to-Peer Toolkit for Patient-Centered Medical Home Implementation Public Deposited

http://ir.library.oregonstate.edu/concern/articles/5m60qt72v

To the best of our knowledge, one or more authors of this paper were federal employees when contributing to this work. This is the publisher’s final pdf. The article is copyrighted by the Society of General Internal Medicine and published by Springer. It can be found at:  http://link.springer.com/journal/11606.

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  • BACKGROUND: Effective implementation of the patient-centered medical home (PCMH) in primary care practices requires training and other resources, such as online toolkits, to share strategies and materials. The Veterans Health Administration (VA) developed an online Toolkit of user-sourced tools to support teams implementing its Patient Aligned Care Team (PACT) medical home model. OBJECTIVE: To present findings from an evaluation of the PACT Toolkit, including use, variation across facilities, effect of social marketing, and factors influencing use. INNOVATION: The Toolkit is an online repository of ready-to-use tools created by VA clinic staff that physicians, nurses, and other team members may share, download, and adopt in order to more effectively implement PCMH principles and improve local performance on VA metrics. DESIGN: Multimethod evaluation using: (1) website usage analytics, (2) an online survey of the PACT community of practice’s use of the Toolkit, and (3) key informant interviews. PARTICIPANTS: Survey respondents were PACT team members and coaches (n=544) at 136 VA facilities. Interview respondents were Toolkit users and nonusers (n=32). MEASURES: For survey data, multivariable logistic models were used to predict Toolkit awareness and use. Interviews and open-text survey comments were coded using a “common themes” framework. The Consolidated Framework for Implementation Research (CFIR) guided data collection and analyses. KEY RESULTS: The Toolkit was used by 6,745 staff in the first 19 months of availability. Among members of the target audience, 80% had heard of the Toolkit, and of those, 70% had visited the website. Tools had been implemented at 65% of facilities. Qualitative findings revealed a range of user perspectives from enthusiastic support to lack of sufficient time to browse the Toolkit. CONCLUSIONS: An online Toolkit to support PCMH implementation was used at VA facilities nationwide. Other complex health care organizations may benefit from adopting similar online peer-to-peer resource libraries.
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  • Luck, J., Bowman, C., York, L., Midboe, A., Taylor, T., Gale, R., & Asch, S. (2014). Multimethod Evaluation of the VA’s Peer-to-Peer Toolkit for Patient-Centered Medical Home Implementation. Journal of General Internal Medicine, 29, 572-578. doi:10.1007/s11606-013-2738-0
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  • description.provenance : Submitted by Erin Clark (erin.clark@oregonstate.edu) on 2014-08-05T16:43:37Z No. of bitstreams: 1 LuckJeffreyPHHSMultimethodEvaluationVA.pdf: 673772 bytes, checksum: 756804dd23228caeac7b433856a51bd3 (MD5)
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  • description.provenance : Approved for entry into archive by Erin Clark(erin.clark@oregonstate.edu) on 2014-08-05T16:43:52Z (GMT) No. of bitstreams: 1 LuckJeffreyPHHSMultimethodEvaluationVA.pdf: 673772 bytes, checksum: 756804dd23228caeac7b433856a51bd3 (MD5)

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