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Multimethod evaluation of the VA's peer-to-peer Toolkit for patient-centered medical home implementation.
J Gen Intern Med. 2014 Jul; 29 Suppl 2:S572-8.JG

Abstract

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 non-users (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.

Links

PMC Free PDF

Authors+Show Affiliations

Luck J
College of Public Health and Human Sciences, Oregon State University, 401 Waldo Hall, Corvallis, OR, 97331-6406, USA, Jeff.luck@oregonstate.edu.
Bowman C
No affiliation info available
York L
No affiliation info available
Midboe A
No affiliation info available
Taylor T
No affiliation info available
Gale R
No affiliation info available
Asch S
No affiliation info available

MeSH

Data CollectionHumansPatient Care TeamPatient-Centered CarePeer ReviewUnited StatesUnited States Department of Veterans Affairs

Pub Type(s)

Evaluation Study
Journal Article
Multicenter Study
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24715401

Citation

Luck, Jeff, et al. "Multimethod Evaluation of the VA's Peer-to-peer Toolkit for Patient-centered Medical Home Implementation." Journal of General Internal Medicine, vol. 29 Suppl 2, 2014, pp. S572-8.
Luck J, Bowman C, York L, et al. Multimethod evaluation of the VA's peer-to-peer Toolkit for patient-centered medical home implementation. J Gen Intern Med. 2014;29 Suppl 2:S572-8.
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 Suppl 2, S572-8. https://doi.org/10.1007/s11606-013-2738-0
Luck J, et al. Multimethod Evaluation of the VA's Peer-to-peer Toolkit for Patient-centered Medical Home Implementation. J Gen Intern Med. 2014;29 Suppl 2:S572-8. PubMed PMID: 24715401.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multimethod evaluation of the VA's peer-to-peer Toolkit for patient-centered medical home implementation. AU - Luck,Jeff, AU - Bowman,Candice, AU - York,Laura, AU - Midboe,Amanda, AU - Taylor,Thomas, AU - Gale,Randall, AU - Asch,Steven, PY - 2014/4/10/entrez PY - 2014/4/10/pubmed PY - 2015/2/20/medline SP - S572 EP - 8 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 29 Suppl 2 N2 - 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 non-users (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. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/24715401/Multimethod_evaluation_of_the_VA's_peer_to_peer_Toolkit_for_patient_centered_medical_home_implementation_ DB - PRIME DP - Unbound Medicine ER -