The Journal of Ambulatory Care Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - June 2, 2022 Category: Emergency Medicine Tags: From the Editor Source Type: research

High-Impact Health Care
High-impact health care is a new, employer-driven model that builds on existing employer-direct contracts for primary care centers of excellence and accountable care organizations. High-impact health care proceeds both cautiously and boldly. Cautiously by contracting with providers only after developing relationships with them and assessing their performance—to assure they are top performers; boldly by elevating member feedback to being a top criterion for determining which physicians remain in the network. Driven by the collective purchasing power of large employers, high-impact health care can provide employers a uniqu...
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

General Practice in England: The Current Crisis, Opportunities, and Challenges
General practice or family medicine has historically been lauded as the “jewel in the crown” of the English National Health Service (NHS) (M. Marshall, 2015). General practice, at the heart of primary care, has continued to contribute to the high ranking of the NHS in international comparisons (M. S. Razai & A. Majeed, 2021) and evidence from several decades of research has shown that general practice in the UK has improved the nation's health (Royal College of General Practitioners, 2013). Furthermore, it has provided equitable, cost-effective, and accessible care for all with the flexibility to adapt rapidly to a cha...
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Advanced Practice Provider Care Team Models: Best Practices From an Academic Medical Center
This article discusses 5 nurse practitioner and physician assistant (collectively called advanced practice providers) care team models that regularly occur in health care organizations across the country. Examples of each practice model, a discussion on when each model would be appropriate, as well as data on patient experience and financial return of investment of each model are provided. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Underlying Factors of Health Insurance Use Among Blacks and Hispanics With Ambulatory Care–Sensitive Conditions
This study examined satisfaction with and confidence in understanding health insurance use among Blacks and Hispanic Americans with ambulatory care–sensitive conditions. Using the 2013-2016 Health Reform Monitoring Survey data sets, descriptive statistics and ordinary least-square regressions estimated the association between satisfaction and confidence scores and racial or ethnic groups with ambulatory care–sensitive conditions. Compared with their White counterparts, Black (β = −.13; 95% confidence interval [CI], −0.19 to −0.06) and Hispanic (β = −0.41; 95% CI, −0.48 to −0.33) participants' standardized...
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Incentive Programs for Physicians to Practice in Underserved Areas: A Nationwide Snapshot
This article aggregates the reported output of state and federal programs and assesses their relative contributions to increasing the physician workforce in underserved areas. The estimates derived suggest that in 2017 the National Health Service Corps supported placement of around 2000 physicians, fully state-funded financial incentive programs about 1000, and visa waiver programs over 3500. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

The Association of COVID-19 on Organizational Attitudes in Primary Care Among Interprofessional Practice Clinics
This article describes the association of COVID-19 on organizational attributes in primary care among 2 academic-practice partnership interprofessional collaborative practice (IPCP) clinics. Our team used a concurrent, triangulation repeated-measures study design to examine responses to the Survey of Organizational Attitudes of Primary Care (SOAP-C) instrument between January and December 2020. Analysis revealed statistically nonsignificant change over 12 months across all 4 subscales. Study results suggest that IPCP teams can function effectively through adversity. The IPCP model seemed to bolster resilience making it a v...
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

COVID-19 Patient Vaccine Program Design and Implementation: An Academic Children's Hospital's Model, Approach, and Outcomes
To slow the spread of the 2019 novel coronavirus disease (COVID-19) and reduce the associated morbidity and mortality, the Children's National Hospital developed a multidisciplinary, collaborative vaccine program aimed at equitably and expeditiously vaccinating the pediatric population of the surrounding community. Interdepartmental collaboration, professional expertise, and community partnerships allowed for a dynamic and successful program design that began as large volume–centralized vaccine clinics and expanded to smaller volume ambulatory clinics. This strategy proved successful at meeting local vaccine demand; howe...
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 25, 2022 Category: Emergency Medicine Tags: From the Editor Source Type: research

Improving Access for Priority Patient Populations Within Outpatient Specialty Practices
We report on a pilot program with 12 practices, split into pilot and control groups, and involving 11001 patients requesting new appointments. The results of the pilot show that statistically significant improvements to conversion rates can be achieved. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Primary Care Organizational Developments Source Type: research

Integration of Primary Care Teams Within the Examination Room: A Qualitative Study of Advanced Team-Based Care
Multidisciplinary teams deliver high-quality care in complex primary care environments. Using qualitative interviews, we explored the interpersonal dynamics of care team members from 2 models—traditional team-based care and “advanced team-based care” (aTBC). Two differentiating themes emerged—the ways care teams learned and collaborated. aTBC participants described learning from each other and integrating their roles and tasks more so than the traditional model. These differences have implications for patient care and care team member well-being. Our results provide a framework for improving team-based care models ...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Primary Care Organizational Developments Source Type: research

Examining the Use of Web-Based Health Education and Information Among Ambulatory Care Clinic Diabetic Patients
Web-based health education provides access to information and better coordination of care. Demographic and geographical factors may impact use and effectiveness of these services. The purpose of this study was to identify factors associated with use of web-based health education programs among diabetic patients at ambulatory clinics of a safety-net hospital. This was a retrospective chart review. Total sample size was 300. Patients who completed a web-based video were younger, Caucasian, living outside inner city core, users of patient portal, and more likely to complete annual diabetic eye examination. Web-based education...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Primary Care Organizational Developments Source Type: research

The Value of the Patient-Centered Medical Home in Getting Adults Suffering From Acute Conditions Back to Work: An Integrative Literature Review
Acute conditions are the leading cause of work restrictions and missed workdays, contributing to over $27 billion in lost productivity each year and negatively impacting workers' health and quality of life. Primary care services, specifically patient-centered medical homes (PCMHs), play an essential role in supporting timely acute illness or injury recovery for working adults. The purpose of this review is to synthesize the evidence on the relationship between PCMH implementation, care processes, and outcomes. In addition, we discuss the empirical connection between this evidence and return-to-work outcomes, as well as the...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Primary Care Organizational Developments Source Type: research

Reduction in Medication Refill Encounters Through Primary Care Redesign Workflow Changes
With a goal of improving efficiency and reducing workload outside of visits, we sought to examine a primary care redesign process aimed at reducing refill requests made outside of office visits. Data on the number of refill encounters per panel member were collected at 17 clinics before, during, and after the implementation of a redesign process. There was an initial reduction in the number of medication refill encounters, and the rate of refill encounters continued to decline following implementation. Variation across clinic contexts suggests that redesign processes may need to be tailored for different settings to optimi...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Primary Care Organizational Developments Source Type: research

Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting
This study elicited perspectives on how community health workers (CHWs) act upon barriers to primary care in 5 patient (n = 25) and 3 CHW focus groups (n = 17). Participants described how CHWs acted on patient-level barriers through social support, empowerment, and linkages, and system-level barriers by enhancing care team awareness of patient circumstances, optimizing communication, and advocating for equitable treatment. Limitations existed for influencing entrenched community-level barriers. CHWs, focusing on patient preferences, motivators, and circumstances, intervened on multilevel barriers to primary care, including...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Community Health Workers Source Type: research