AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants

Catalog of Tools and Resources

This Catalog of Tools and Resources brings together the materials developed through the ARHQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) cooperative grants. These grants supported model initiatives in four States (Pennsylvania, New Mexico, North Carolina, and Oklahoma), which used primary care extension agents to assist with primary care transformation efforts statewide and were then spread to partner States. The materials in this catalog include toolkits for building infrastructure and implementing health extension models, reports outlining lessons learned, Webinars to share information and experiences, descriptions of the various models used, and peer-reviewed articles.

Resource Name Description Resource Type State Author/Developer/Source Resource Link
Primary Care Extension Models in Lead IMPaCT States
This online chart outlines the infrastructure and strategies used by the four IMPaCT model States. It includes multiple links to relevant articles, Web sites, and other materials.
Web page
Model States: NM, NC, OK, PA
National Academy for State Health Policy
Health Extension Toolkit
This toolkit shares experiences from all 17 IMPaCT grant model and partner States and explains the core components of health extension and how they can be applied and sustained in primary care and public health settings.
Web site
All model and partner States: NM, NC, OK, PA, KS, KY, OR, ID, MD, MT, WV, AR, MO, CO, NJ, NY, VT
Office for Community Health at the University of New Mexico Health Sciences Center
Health Extension: Role in Primary Care and Community Health
This Webinar launched the Health Extension Toolkit Web site, an online resource to help other States implement the health extension model.
Presentation (recorded Webinar)
All model and partner States: NM, NC, OK, PA, KS, KY, OR, ID, MD, MT, WV, AR, MO, CO, NJ, NY, VT
Office for Community Health at the University of New Mexico Health Sciences Center
IMPaCT Multi-State Conference Final Progress Report
In February 2013, AHRQ invited all of the IMPaCT model and partner States to a national meeting to build consensus around the Primary Care Extension Program. This is the final report from that meeting.
Report
All model and partner States: NM, NC, OK, PA, KS, KY, OR, ID, MD, MT, WV, AR, MO, CO, NJ, NY, VT
James W. Mold, MD, MPH, et al
IMPaCTing Meaningful Improvements in Primary Care Practices
This Webinar by State Refor(u)m gives a high level overview of the key components of IMPaCT. (Moderated by Bob McNellis, AHRQ)
Presentation (recorded Webinar)
All model States: NM, NC, OK, PA
National Academy for State Health Policy
The National Primary Care Extension Program: Next Steps
In February 2014, The Commonwealth Fund invited several organizations from all over the Nation to discuss the Primary Care Extension Program's future. This white paper summarizes the findings of the conference and outlines the next steps that are necessary to move forward with Primary Care Extension.
White paper
All model States: NM, NC, OK, PA
Arthur Kaufman, MD (editor)
Just the Literature
A list of relevant publications in academic journals, white papers, and other materials included on the Health Extension Toolkit Web site.
Web page
All model States: NM, NC, OK, PA
Office for Community Health at the University of New Mexico Health Sciences Center
Building Infrastructure to Promote Primary Care Transformation: Lessons From a Four State Learning Community
This report describes the North Carolina model for using extension agents to assist with primary care transformation, and summarizes the value of transformation for the States involved in the North Carolina IMPaCT Learning Community: Idaho, Maryland, Montana, and West Virginia. It also describes the challenges the Learning Community States faced in adapting aspects of the North Carolina model and the strategies that the States implemented to overcome those challenges.
Report
NC, ID, MD, MT, WV
National Academy for State Health Policy
Profiles of State Primary Care Practice Transformation Initiatives: Idaho
A profile of Idaho, one of North Carolina's four partner States, outlining its accomplishments and plans moving forward.
Report
ID
National Academy for State Health Policy
Profiles of State Primary Care Practice Transformation Initiatives: Maryland
A profile of Maryland, one of North Carolina's four partner States, outlining its accomplishments and plans moving forward.
Report
MD
National Academy for State Health Policy
Profiles of State Primary Care Practice Transformation Initiatives: Montana
A profile of Montana, one of North Carolina's four partner States, outlining its accomplishments and plans moving forward.
Report
MT
National Academy for State Health Policy
Profiles of State Primary Care Practice Transformation Initiatives: West Virginia
A profile of West Virginia, one of North Carolina's four partner States, outlining its accomplishments and plans moving forward.
Report
WV
National Academy for State Health Policy
Community Care of North Carolina Toolkit
A step-by-step guide to creating and managing a health care delivery improvement effort based on Community Care of North Carolina's experience.
Web site
NC
The North Carolina Foundation for Advanced Health Programs
Health Extension in New Mexico: An Academic Health Center and the Social Determinants of Disease
This article in the Annals of Family Medicine outlines the University of New Mexico Health Sciences Center's Health Extension Rural Offices (HEROs) program, which was a model for health extension.
Article
NM
Arthur Kaufman, MD; Wayne Powell, MA; Charles Alfero, MA, et al
County Health Improvement Organizations of Oklahoma
This Web site describes the guidelines and application process for Oklahoma's County Health Improvement Organization (CHIO) program, which was developed as part of the IMPaCT grant.
Web site
OK
Arthur Kaufman, MD, et al
A Health Care Cooperative Extension Service: Transforming Primary Care and Community Health
This commentary in the Journal of the American Medical Association discusses the need for cooperation between primary care practice and research, via a trusted extension agency.
Article
OK
Kevin Grumbach, MD; James W. Mold, MD, MPH
A Cooperative Extension Service for Primary Care in Oklahoma
This article in the Journal of the Oklahoma State Medical Association provides a brief overview of the Primary Care Extension Program in Oklahoma.
Article
OK
James W. Mold, MD, MPH
An Extension Program for Primary Care
This PowerPoint presentation describes the history of primary health care extension in Oklahoma and the development of County Health Improvement Organizations (CHIOs).
Presentation slides
OK
James W. Mold, MD, MPH
Infrastructure to Maintain Primary Care Transformation (IMPaCT)
This PowerPoint presentation describes the history of primary health care extension in Oklahoma and the development of County Health Improvement Organizations (CHIOs).
Presentation slides
OK
James W. Mold, MD, MPH
The Oklahoma Primary Healthcare Extension System
This graphic displays the various organizations involved in Oklahoma's Primary Healthcare Extension System.
Graphic (Poster)
OK
Public Health Institute of Oklahoma
The Primary Care Extension Program: A Catalyst for Change
This article in the Annals of Family Medicine outlines the importance of primary care extension programs in the transformation of primary care.
Article
OK
Robert L. Phillips, Jr, MD, MSPH; Arthur Kaufman, MD; James W. Mold, MPH, MD
PA Spread
This toolkit includes learning community and practice-level resources from PA Spread's medical home implementation and quality improvement efforts.
Web site
PA, NJ, NY, VT
PA SPREAD team at the Pennsylvania State University College of Medicine
PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure
This PowerPoint presentation describes the history of primary health care extension in Pennsylvania and the development of PA SPREAD.
Presentation (PowerPoint slides)
PA, NJ, NY, VT
PA SPREAD team at the Pennsylvania State University College of Medicine
What Providers Want From the Primary Care Extension Service to Facilitate Practice Transformation
This article in Family Medicine discusses the results of a survey that asks providers what aspects of the Primary Care Extension Service they feel would be most beneficial.
Article
PA
Laura Parisi; Robert A. Gabbay, MD, PhD
Page last reviewed August 2015
Page originally created August 2015
Internet Citation: AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants. Content last reviewed August 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/primary-care/tpc/tools-catalog.html