AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857. www.ahrq.gov

Contract No. 290-2010-00004-I, Task Order No. 10

Prepared by:  Karin Johnson, PhD; Robert Penfold, PhD; Judith Schaefer, MPH; Julie Reardon, MacColl Center for Healthcare Innovation
Jessie Gerteis, MPH; Abt Associates

Contents

Acknowledgments
Copyright and Source Information
Introduction
    What Is a Primary Care Extension Program?
    AHRQ IMPaCT Initiative
Methods
Model State Enhancement Efforts
    Summary of Model State Program Components
     Building a Culture of Change in Primary Care
    Building a Culture of Change Across Stakeholders
    Who Were the Extension Agents?
     Reach and Results Within Model States
Spreading the Model to Partner States
    New Mexico
    North Carolina
    Oklahoma
     Pennsylvania
     Cross-Grantee Efforts
External Context
     Patient Protection and Affordable Care Act
    State Planning
    Alignment With Existing Entities
     Geography
    PCMH Recognition
    Funding
Lessons Learned From IMPaCT About PCEPs
Conclusions and Implications
    Research Gaps
    Key Questions for Sustainability and Expansion
References

Figure 1. Map of Model and Partner States
Table 1. Summary of Model State Initiatives

Acknowledgments

The authors thank all of the investigators and partnerships who worked on the AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) grants for their primary care extension efforts.

Copyright and Source Information

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857. www.ahrq.gov

Source: This report was prepared by Abt Associates and the MacColl Center for Healthcare Innovation under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA-290-2010-00004-I, Task Order No. 10).

Disclaimer: The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Copyright Information: This document is in the public domain and may be used and reprinted without permission.

Page last reviewed July 2015
Page originally created October 2015
Internet Citation: AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report. Content last reviewed July 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/primary-care/tpc/final-impact-report/index.html