EvidenceNOW Presentations

Presentations

Since 2016, AHRQ and EvidenceNOW grantees have conducted dozens of presentations and poster sessions on insights from EvidenceNOW at national conferences.

Browse the topics below to access presentation summaries and abstracts.

Topics:

Primary Care Landscape

December 2017

10th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health 

A primary care clinician reviews information with a patientPanel: How Practice Context Impacts External Facilitation Strategies to Promote Implementation of Evidence-Based Guidelines: A Comparative Case Analysis in Small Independent Practice and Federally Qualified Health Centers
A look at data from the New York City Cooperative on how practice characteristics influence variations in practice facilitation roles and strategies for capacity building and quality improvement. Data indicate that practice facilitators require a wide range of skills—including communication and interpersonal skills, fluency with electronic health record functionality, and leadership qualities—that enable them to tailor their approach to the needs of the practices they serve.
Presenter: Donna Shelley
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/20290.

November 2017

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Preventive Cardiovascular Disease Services Delivery Rates and Associated Practice Characteristics Among 1,115 Small- to Medium-Sized Primary Care Practices
Description from the National Evaluation Team of how EvidenceNOW used survey and electronic health record (EHR) data to estimate current heart health care service delivery rates and identify practice-level factors associated with quality improvement performance among small- to medium-sized primary care practices. Practices with higher EHR capabilities and higher use of team-based strategies performed better on quality measures, while practices experiencing major changes had lower scores.
Presenter: Bijal Balasubramanian
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20506.

Presentation: Burnout Among Primary Care Clinicians and Staff in Small- to Medium-Sized Primary Care Practices
A report of findings from the EvidenceNOW National Evaluation Team of a survey administered to practice leaders and staff at small- and medium-sized primary care practices participating in EvidenceNOW. Survey results indicate that burnout rate among respondents was 20 percent overall, with highest rates among physicians (26%) compared to other clinical and non-clinical staff. Non-solo practice, health system ownership (as opposed to clinician-owned), ACO participation, and meaningful use certification were all associated with higher rates of burnout. The findings suggest that lack of practice autonomy may be an important factor in burnout rates.
Presenter: Sam Edwards
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20276.

Presentation: Association Between Practice Ownership or Affiliation with Baseline Performance on Addressing Cardiovascular Risk Factors and Capacity for Managing Change in Primary Care: A Heart of Virginia Healthcare Report
EvidenceNOW baseline data presented by the Virginia Cooperative show that despite advantages held by practices associated with hospital systems (higher change process capacity, higher patient-centered medical home capabilities, and higher “adaptive reserve”), they did not perform better across the board on clinical quality metrics. Competing QI initiatives may distract from focusing specifically on cardiovascular care.
Presenter: Anton Kuzel
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20666.

Educational Session: Cardiovascular Disease Prevention and Quality of Care Efforts Among Primary Care Practices Participating in Health Systems and Accountable Care Organizations
The EvidenceNOW National Evaluation Team examines how participation in health systems and accountable care organizations is associated with performance on heart health and quality of care measures among small- to medium-sized primary care practices. Practices that were part of health systems and accountable care organizations were more likely to engage in quality of care efforts but were also more likely to report higher levels of burnout. Health system-affiliated practices were more likely to report higher performance on heart health care measures.
Presenter: Stephan Lindner
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20528.

June 2017

AcademyHealth Annual Research Meeting

Poster: Performance on Meeting Targets for Multiple Cardiovascular Disease-Related Risk Factors in Small Independent Practices and Federally Qualified Health Centers
The New York City Cooperative presents EvidenceNOW baseline findings from 222 practices on meeting clinical targets for heart health (ABCS) outcomes. The analysis found that practices were performing well on individual ABCS measures but not consistently meeting all clinical targets for patients with multiple chronic diseases.
Presenter: Batel Blechter
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/17398.

Poster: Burnout Among Primary Care Providers and Staff in Small to Medium Sized Primary Care Practices: Early Findings from EvidenceNOW
A look at burnout rates among small- to medium-sized practices participating in EvidenceNOW showed that 17 percent of respondents reported burnout, with physicians reporting the highest rates (22%). Solo practices had lower rates of burnout; patient panel size, patients seen per week, and staffing levels did not seem to affect burnout rates.
Presenter: Sam Edwards
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/16966.

North American Primary Care Research Group (NAPCRG) Practice-based Research Network (PBRN) Conference

Presentation: Evaluation of a National Dissemination and Implementation Initiative to Enhance Primary Care Practice Capacity and Improve Cardiovascular Disease Care
The EvidenceNOW National Evaluation Team describes key elements of the EvidenceNOW evaluation process, characteristics of participating practices, and recent findings of the initiative. Findings include factors that shape primary care quality improvement (QI) and insights into the challenges faced in using electronic health records (EHRs) and EHR-extracted data to support QI in small- and medium-sized primary care practices.
Presenter: Deborah Cohen
http://www.napcrg.org/Conferences/Practice-basedResearchNetworkConference/PlenarySessions.

November 2016

North American Primary Care Research Group (NAPCRG) Annual Meeting

Poster: RE-AIM Meets Real World: Assessing Practice Context, Adoption, and Implementation Across 260 Practices and 225,000 Square Miles
Using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) evaluation framework, the Southwest Cooperative collected notes from their experiences with the first cohort of New Mexico and Colorado practices participating in EvidenceNOW. These data provide a glimpse into the practice-level context that affects adoption and implementation of the ABCS of heart health, including experience with quality improvement, EHR and data reporting challenges, staff and provider turnover, and adaptations to implement approaches.
Presenter: Doug Fernald
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=17986.

Poster: Cardiovascular Disease Preventive Services Delivery Rates among Smaller Primary Care Practices in 12 US States—Early Findings from EvidenceNOW
Based on early findings from EvidenceNOW, the National Evaluation Team reports on large variations in adherence to evidence-based recommendations for preventing cardiovascular disease in small- and medium-sized primary care practices.
Presenter: Miguel Marino
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=17989.

North American Primary Care Research Group (NAPCRG) Practice-based Research Network (PBRN) Conference

Presentation: The Effect of Quality Improvement Orientation and Organizational Change on Cardiovascular Care in Oklahoma Primary Care Practices: A First Look
The Oklahoma Cooperative discusses the association between primary care practice characteristics and achieving heart health care targets. The cooperative found that participation in an accountable care organization (ACO) and experiencing changes within the practice had a negative effect on meeting aspirin therapy targets. On the other hand, being in an ACO was associated with meeting smoking cessation counseling targets.
Presenter: Ann Chou
Abstract located on page 4: http://www.napcrg.org/Portals/51/Documents/PBRN%20Meeting/2016%20Meeting/Abstracts%202016%20OP%20FINAL.pdf?ver=2016-08-03-080525-080.

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Practice Facilitation

December 2017

10th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health 

A practice facilitator talks to a group of primary care clinicians.Poster: Using Dyadic Qualitative Analysis to Describe the Shared Implementation Experience of Practice Leaders and Practice Facilitators in a Quality Improvement Project
Using data from qualitative interviews with primary care practice leaders and practice facilitators participating in the EvidenceNOW initiative, the Midwest Cooperative describes overlapping and contrasting perspectives on the highly tailored program. While both groups saw value in support for quality improvement efforts in preventive cardiac care, they had different preferences and priorities.
Presenter: Megan McHugh
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/20810.

November 2017

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Building and Supporting Practice Facilitation Infrastructure for Large-Scale Quality Improvement Initiatives
The EvidenceNOW National Evaluation Team explores the infrastructure needed to take practice facilitation to scale in regional quality improvement initiatives. Training, ongoing support, and quality monitoring are needed to support large-scale practice facilitation that aims to improve health care quality through the dissemination and implementation of evidence to primary care practices. 
Presenter: Tanisha Woodson
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20378.

June 2017

AcademyHealth Annual Research Meeting

Presentation: Different Practices, Different Conversations: External Facilitators Tailor Support to the Learning Capacity of Primary Care Practices
The Northwest Cooperative describes how external practice facilitation that is tailored to the needs of individual practices can help small- and medium-sized practices improve their capacity to assess, establish, and implement processes to improve quality of patient care.
Presenter: Michael Parchman
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/17486.

Panel: How Practice Characteristics Drive Differences in the External Practice Facilitation (PF) Process: A Comparative Analysis of PF in Federally Qualified Health Centers and Small Independent Primary Care Practices.
The New York City Cooperative presents differences in practice facilitation strategies at nine small independent primary care practices and three Federally Qualified Health Centers in New York City. The Cooperative found that practice facilitators served different roles and goals at the different practice types. Understanding how practice facilitation works in different settings can inform the design and evaluation of strategies for improving adoption of evidence-based practices in primary care.
Presenter: Donna Shelley
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/18338.

North American Primary Care Research Group (NAPCRG) Practice-Based Research Network (PBRN) Annual Meeting

Presentation: The NC Heart Health Now (HHN) Project – Building the Business Case for Practice Facilitation Services—A Look at the First Six Months
The North Carolina Cooperative presents an analysis of time practice facilitators invested in working with participating primary care practices and those practices’ improvements in blood pressure control.
Presenter: Jacqueline Halladay
Abstract located on page 17: http://www.napcrg.org/Portals/51/Documents/PBRN%20Meeting/2017%20Meeting/Oral%20Presentations%20Abstracts%20-%20Final.pdf?ver=2017-07-07-091243-443.

Presentation: Working on the Data: Facilitator Experiences in Small Primary Care Practices Using EHRs and HIT for CVD Quality Improvement
Practice transformation and value-based payment require practices to use clinical quality reports from their electronic health records for quality improvement (QI). Small primary care practices lack the infrastructure to do this on their own. Practice facilitators are a critical form of support. This presentation by the EvidenceNOW National Evaluation Team describes the experiences of practice facilitators working with small practices on data-driven QI through EvidenceNOW.
Presenter: Jennifer Hemler
Abstract located on page 21: http://www.napcrg.org/Portals/51/Documents/PBRN%20Meeting/2017%20Meeting/Oral%20Presentations%20Abstracts%20-%20Final.pdf?ver=2017-07-07-091243-443.

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Practice Capacity for Quality Improvement

November 2017

American Medical Informatics Association (AMIA) Annual Meeting

Hands pointing to a clipboard and sheets of paper showing numbers and chartsPoster: Use of the popHealth Open-Source Quality Measure Engine to Support Cardiovascular Care at Small- and Medium-Sized Practices
Quality improvement efforts at small- and medium-sized practices rely on actionable results to measure progress towards improved care. The Midwest Cooperative used the open-source popHealth system as a centralized electronic clinical quality measure calculation engine for this purpose. The cooperative describes the overall architecture used in implementation, and describes challenges and lessons learned with obtaining data from electronic health records.
Presenter: Luke Rasmussen
https://amia2017.zerista.com/poster/member/94068.

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Factors Related to Use of Quality Improvement Strategies Among Small to Medium Primary Care Practices in the United States
An examination of variations in the use of quality improvement (QI) strategies across small- to medium-sized primary care practices and the reasons for those variations. The EvidenceNOW National Evaluation Team found that use of QI strategies was associated with participation in accountable care organizations and demonstration projects, as well as regular discussions of clinical quality data, generation of quality reports, and designation of staff to configure electronic health record quality reports.
Presenter: Bijal Balasubramanian
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20475.

June 2017

AcademyHealth Annual Research Meeting

Poster: Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning Community
A look at how EvidenceNOW established a learning community to collectively troubleshoot quality improvement challenges at seven regional cooperatives. Although the cooperatives used different approaches to engage practices in data collection (a decentralized “teach them to fish” approach or a centralized database or health information exchange), the cooperatives were able to share implementation lessons and collectively troubleshoot challenges in the quality improvement process.
Presenter: Jenna Sirkin
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/17800.

November 2016

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Extracting Clinical Quality Measures Data from Smaller Primary Care Practices—Early Learning from AHRQ's EvidenceNOW Initiative
The EvidenceNOW National Evaluation Team describes obstacles faced by primary care practices when extracting quality measurement data from electronic health records. Understanding barriers and successful approaches to overcoming them can help accelerate performance improvement and practice transformation.
Presenter: Deborah Cohen
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=17803.

Presentation: Influences of the Electronic Health Record System on Practice Improvement in a Primary Care Initiative to Improve Cardiovascular Health
A description by the Southwest Cooperative of practice and program staff experiences with using electronic health records (EHRs) to report ABCS clinical quality measures as well as strategies used to overcome barriers to documentation and reporting.
Presenter: Tristen Hall
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=18396.

Poster: The Influence of Organizational Readiness to Change on Primary Care Practices’ Training Choices for Quality Improvement
The Virginia Cooperative reports on the relationship between organizational readiness among small- and medium-sized primary care practices, their training choices for quality improvement, and their level of engagement in EvidenceNOW.
Presenter: Tulay Soylu
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=18865.

October/November 2016

144th American Public Health Association (APHA) Meeting and Exposition

Panel: Leveraging Health IT Across a National Primary Care Practice Transformation Initiative: Lessons from EvidenceNOW 
EvidenceNOW has required extraction of quality measures from more than 1,500 primary care practices to assess their adoption of clinical evidence to improve heart health. Challenges in this process included the time lag between release of new clinical quality measures, development of technical specifications, and variation in incorporation of the measures into electronic health records. The current state of health information technology implementation does not support the level of standardization necessary for practice transformation and population health initiatives at many small primary care practices.
Presenter: Bob McNellis
https://apha.confex.com/apha/144am/meetingapp.cgi/Paper/358659.

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Improving the ABCS of Heart Health

December 2017

10th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health

An older adult woman gets her blood pressure taken at the doctor’s office.Presentation: Tailoring Implementation Strategies for Cardiovascular Disease Risk Calculator Adoption in Primary Care Practice: Results of an EvidenceNOW Educational Outreach Intervention
The Northwest Cooperative presents findings from data collected from outreach visits to 44 primary care practices to identify evidence-based implementation strategies most likely to result in increased use of risk calculators and prescription statins for prevention of cardiovascular disease.
Presenter: Michael Parchman
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/20375.

November 2017

American Heart Association (AHA) Scientific Session

Poster: Practice Leadership, Quality Improvement and Use of Statins for Secondary Prevention of Atherosclerotic Cardiovascular Disease: The Heart Health NOW Study
The North Carolina Cooperative found a positive correlation between practice involvement in quality improvement activities and scores on the use of statins for secondary cardiac prevention among patients with atherosclerotic cardiovascular disease. This presentation focuses on the cooperative’s method for assessing the relationship between practice involvement and appropriate statin therapy.
Presenter: Kamal Henderson
http://www.abstractsonline.com/pp8/#!/4412/presentation/53503.

June 2017

AcademyHealth Annual Research Meeting

Poster: Using Customer Relationship Management Software to Monitor and Enhance External Facilitation in Small to Medium Size Primary Care Practices
The New York Cooperative describes the use of Customer Relationship Management (CRM) software to support the delivery of practice facilitation in small independent primary care practices. With proper training, practice facilitators can use CRM to monitor progress and provide performance feedback and may facilitate replication of the practice facilitation model in a wide range of primary care settings.
Presenter: Stefanie Lindeman
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/16102.

Poster: Can Academic Detailing Principles Be Adapted to a Virtual Educational Outreach Intervention on Cardiovascular Risk Calculation in Primary Care?
The Northwest Cooperative describes how it adapted principles of expert consultation (academic detailing) to deliver a virtual education program to improve preventive heart health care to primary care practices spread out over a wide geographic area.
Presenter: Michael Parchman
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/17929.

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Research Design and Methods

December 2017

10th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health 

Presentation: Fidelity and Adaptation in Implementation Strategies to Support Primary Care Practices in Improving Cardiovascular Preventive Care
Interventions to support primary care practice improvement are most likely to be successful if they balance fidelity to evidence-based interventions with allowing adaptations to fit the needs of individual practices. This presentation describes the EvidenceNOW National Evaluation Team’s method to combine qualitative and quantitative data to assess variation in number, duration, mode, and type of encounters and support activities employed by practice facilitators. Other implementation initiatives can use this method to assess balance between fidelity and adaptation and how this affects intended outcomes.
Presenter: Bijal Balasubramanian
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/21160.

A hand holding a pen pointing to graphs on a computer screenPoster: Creating a Nomenclature for Describing Implementation Strategies Used During Practice Facilitation as Part of a Large, Pragmatic Clinical Trial
Categorization of practice facilitators’ implementation strategies may assist understanding of how to tailor practice facilitation to primary care settings. In this presentation, the Northwest Cooperative reviews implementation strategy terms, definitions, and categories that are part of the Expert Recommendations for Implementing Change (ERIC) panel and identifies a subset most applicable to practice facilitation. If validated in further application, this could represent terminology for supporting consistent description of practice facilitation strategies.
Presenter: Allison Cole
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/21032.

Presentation: Specifying Implementation Strategies Used by Seven Primary Care Regional Cooperatives: Real-World Meets Theory
This presentation describes how the EvidenceNOW National Evaluation Team used data on EvidenceNOW cooperatives’ implementation strategies to test the Expert Recommendations for Implementing Change (ERIC) framework for dissemination and implementation. Based on their experience, the researchers offer refined ERIC definitions, new strategies identified, and reorganized ERIC clusters to better align with real-world implementation strategies.
Presenter: Cynthia Perry
https://academyhealth.confex.com/academyhealth/2017di/meetingapp.cgi/Paper/21174.

November 2017

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Methods from Healthy Hearts Northwest, an AHRQ EvidenceNOW Cooperative: Using the Principles of Academic Detailing to Develop a Virtual Educational Outreach Intervention in Primary Care
The Northwest Cooperative describes how they adapted expert consultation (academic detailing) features to deliver a virtual educational outreach program to small- and medium-sized primary care practices over a wide geographical area. This intervention included virtual expert consultation visits with participating practices, educational videos before the visits, and emailed summaries after the visits to maximize impact of monthly in-person encounters. The intervention maintained key features of expert consultation, including key messages, engaged discussion, and follow-up support.
Presenter: Laura-Mae Baldwin
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=20240.

December 2016

9th Annual Conference on the Science of Dissemination and Implementation (D&I) in Health

Presentation: Balancing Reach and Rigor in the Design of AHRQ's EvidenceNOW Initiative: Applying D&I Science in Federal Research
The design of AHRQ’s EvidenceNOW required balancing the two goals of the initiative: to disseminate and implement evidence-based recommendations for improving heart health, and to study how quality improvement support can build the capacity of primary care practices to understand and apply evidence. Understanding the process and decisions involved in a large clinical practice transformation initiative can provide insights into future dissemination and implementation research.
Presenter: David Meyers
https://academyhealth.confex.com/academyhealth/2016di/meetingapp.cgi/Paper/13525.

Presentation: Mapping a Method for Rapid Dissemination and Implementation: The Primary Care Extension Program
A description from the EvidenceNOW National Evaluation Team of how the EvidenceNOW regional cooperatives engage primary care practices to rapidly disseminate and implement evidence related to heart health to improve patient care and outcomes.
Presenter: Sarah Ono
https://academyhealth.confex.com/academyhealth/2016di/meetingapp.cgi/Paper/13999.

November 2016

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Harmonizing Measures for EvidenceNOW—A National Initiative to Improve Cardiovascular Disease Preventive Care and Practice Capacity
This presentation describes the collaborative approach used by the EvidenceNOW National Evaluation Team and regional cooperatives to harmonize key study measures to collect clinical quality data from more than 1,500 primary care practices participating in the initiative. This approach included meetings, surveys, prioritization, and ground rules for decisionmaking that resulted in final harmonized measures. The establishment of trusted partnerships proved critical to the success of this effort, and the methods used are transferable to researchers conducting multi-site studies and to practices and health systems seeking to harmonize measures for performance and quality improvement reporting.
Presenter: Bijal Balasubramanian
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=18204.

Presentation: Study Design Challenges and Solutions for Implementing the EvidenceNOW Southwest Trial to Improve Cardiovascular Health
The Southwest Cooperative shares early lessons from the planning and implementation of EvidenceNOW in New Mexico and Colorado, including study design considerations, randomization to achieve balanced populations, and actions taken to account for and assess “contamination” from population-based initiatives.
Presenter: Miriam Dickinson
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=17846.

Educational Session: Creation of a High-Leverage Change Package to Achieve EvidenceNOW Quality Improvement Goals
The Northwest Cooperative describes how they adapted and built on existing models of practice improvement and change concepts to create a framework for targeted and consistent practice facilitation to help small- and medium-sized primary care practices apply evidence and quality improvement strategies to improve their patients’ heart health.
Presenter: LeAnn Michaels
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=18364.

Presentation: Recruiting Primary Care Practices in a Competitive Environment
Increased Federal and State quality improvement reporting requirements have led to decreased time and high burnout rates among clinicians. This makes it difficult to recruit practices to participate in additional quality improvement efforts. The seven EvidenceNOW regional cooperatives used a variety of methods to meet recruitment goals, including leveraging existing relationships, aligning studies with ongoing Federal and State initiatives, and tailoring messages to practices.
Presenter: Shannon Sweeney
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=18414.

June 2016

AcademyHealth Annual Research Meeting

Poster: Taking Practice-Engagement to Scale: Cross-Cooperative Insights from the EvidenceNOW Evaluation
A look at the factors that facilitated or hindered enrollment of more than 1,500 primary care practices across 12 States in the EvidenceNOW initiative. The EvidenceNOW National Evaluation Team identifies factors that influenced enrollment, including geographical distribution and dispersion of practices, existing regional infrastructure, and the availability of regional practice facilitators to conduct face-to-face visits with practices. Rapid, large-scale efforts to translate evidence, like cardiovascular preventive care, into primary care practices require a local or regional relationship-based approach for successful engagement.
Presenter: Deborah Cohen
https://academyhealth.confex.com/academyhealth/2016arm/meetingapp.cgi/Paper/11089.

North American Primary Care Research Group (NAPCRG) Practice-based Research Network (PBRN) Conference

Poster: Large Scale Practice Transformation: The Cost of Practice Recruitment, the Healthy Hearts Northwest Experience
The Northwest Cooperative reports preliminary data on the effort and cost of recruiting approximately 100 small- to medium-sized primary care practices in Washington, Idaho, and Oregon for EvidenceNOW. The recruitment effort required an average of approximately seven contacts per enrolled practice and a total of 4,433 staff hours, translating to a cost of nearly $6,000 per enrolled practice. Organizations recruiting primary care practices for large-scale regional studies should consider up to a 12-month recruitment phase, funding high-touch strategies to meet recruitment targets.
Presenter: Lyle J. Fagnan
Abstract located on page 15: http://www.napcrg.org/Portals/51/Documents/PBRN%20Meeting/2016%20Meeting/Poster%20Abtracts%202016%20-%20All%20Sessions.pdf?ver=2016-08-03-080634-473.

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Other Topics

November 2017

North American Primary Care Research Group (NAPCRG) Annual Meeting

A doctor writes down information on a clipboardPresentation: Uptake and Implementation of Patient Engagement Activities in Primary Care with Practice Facilitation: Initial Lessons Learned from EvidenceNOW Southwest
Through a Boot Camp Translation process, the Southwest Cooperative developed patient engagement materials for cardiovascular disease preventive care specifically for four diverse communities in Colorado and New Mexico. In this presentation, the cooperative reports on the uptake of these materials and other patient engagement activities by primary care practices participating in EvidenceNOW. The cooperative found that uptake varied widely and that many practices were not actively using patient engagement tools to improve health outcomes.
Presenter: Linda Zittleman
http://www.napcrg.org/Conferences/AnnualMeeting/EducationEvents/SearchEducationalSessions?m=6&s=21209.

June 2017

AcademyHealth Annual Research Meeting

Poster: A Learning Collaborative for a National Primary Care Quality Improvement Initiative: Lessons from EvidenceNOW
Members of the EvidenceNOW Technical Assistance Center (TAC) present best practices for supporting a learning collaborative to translate and disseminate clinical evidence and quality improvement strategies to small- and medium-sized practices in seven regional cooperatives. The TAC engages cooperatives in quality improvement efforts with bottom-up, participant-driven technical assistance that employs internal and external experts and tailors the support to regional and local concerns, while tying value to national policy context and goals.
Presenter: Jaclyn Rappaport
https://academyhealth.confex.com/academyhealth/2017arm/meetingapp.cgi/Paper/15851.

November 2016

American Public Health Association (APHA) Meeting and Exposition

Poster: Using Practice Facilitation in Primary Care Settings to Reduce Risk Factors for Cardiovascular Disease: Data Harmonization
The New York Cooperative describes how they were able to extract data from six different electronic health record systems across 330 practice sites. Data harmonization created a strong foundation to evaluate the effectiveness of practice facilitation.
Presenter: Batel Blechter
https://apha.confex.com/apha/144am/meetingapp.cgi/Paper/359280.

North American Primary Care Research Group (NAPCRG) Annual Meeting

Presentation: Patient-Practice-Public Health Partnerships for Primary Care Practice Improvement in Cardiovascular Health: Results from Four Boot Camp Translations for EvidenceNOW Southwest
The Southwest Cooperative describes their cardiovascular disease Boot Camp Translation process to translate medical jargon and guidelines into concepts and messages that are relevant to local communities. Working with patients, providers, practice staff and public health professionals in four diverse areas (Denver, rural northeast Colorado, Hispanic community in Albuquerque, and African American community in southeast New Mexico), different themes and emphases emerged in each group, suggesting that programs to reach patients in primary care practices may not be “one size fits all.”
Presenter: Linda Zittleman
http://www.napcrg.org/Conferences/AnnualMeeting/SearchEducationalSessions-2016?m=6&s=17727.

Society of Teachers of Family Medicine (STFM) Conference on Practice Improvement

Presentation: Using Electronic Clinical Quality Measures Data to Improve Primary Care Practice: Early Learning from AHRQ’s EvidenceNOW Initiative
An overview by the EvidenceNOW Technical Assistance Center (TAC), Cooperatives, and the National Evaluation Team describing challenges and strategies to extract and analyze primary care practice data and lessons learned from the experience.
Presenter: Jenna Sirkin
http://www.stfm.org/Conferences/ConferenceonPracticeImprovement/PastConferences/PastAbstractsBrochuresandHandouts/2016ConferenceonPracticeImprovement?m=6&s=17619.

October/November 2016

144th American Public Health Association (APHA) Meeting and Exposition

Presentation: Fulfilling an ACA Promise: Infrastructure Needed to Scale Up Primary Care Extension Programs
EvidenceNOW established seven regional cooperatives, or primary care extension programs, to support quality improvement and rapid implementation of evidence into primary care practices in 12 States, reaching more than 1,500 primary care practices. This presentation highlights the infrastructure needed to connect primary care clinicians with existing community resources, including the use of technology, community health worker models, and community health coalitions.
Presenter: Leah Gordon
https://apha.confex.com/apha/144am/meetingapp.cgi/Paper/3604541.

July 2016

North American Primary Care Research Group (NAPCRG) Practice-based Research Network (PBRN) Conference

Presentation: A Training and Support Curriculum for Engaging Patients as Partners Across Ambulatory Primary Care Practices
The Southwest Cooperative describes a multi-faceted curriculum they developed for primary care practices participating in EvidenceNOW to engage patients and caregivers, with an aim of increasing the delivery of evidence-based heart health care. The cooperative’s early data suggest that engaging patient and caregivers can improve practice transformation processes; however, uptake of practice-based patient engagement methods remains low.
Presenter: Aimee English
Abstract located on page 13: http://www.napcrg.org/Portals/51/Documents/PBRN%20Meeting/2016%20Meeting/Abstracts%202016%20OP%20FINAL.pdf?ver=2016-08-03-080525-080.

OSEHRA Open Source Summit

Leveraging popHealth® and an Active Open Source Community to Improve Heart Health in Small to Medium Size Practices
This presentation by the Midwest Cooperative describes the cooperative’s EvidenceNOW implementation approaches. The presentation also shares lessons learned from engaging an active open source community to identify solutions to technology-based challenges to delivering population health management interventions.
Presenter: Luke Rasmussen
Abstract: EN_Midwest_OSEHRA_abstract_508.pdf (12.9 KB)

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Page last reviewed August 2018
Page originally created March 2018
Internet Citation: EvidenceNOW Presentations. Content last reviewed August 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/evidencenow/evaluation/presentations/index.html