Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification

Peterson, Lars E.; Blackburn, Brenna; Puffer, James C.; Phillips, Robert L.

doi:10.1111/jhq.12082

Cited by 18 publications

(19 citation statements)

References 22 publications

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“…Two training strategies will be tested (see Table 1), both increasingly used with PCPs, and developed in accordance with principles of adult leaning (59)(60)(61)(62)(63)(64). First, SEEK Maintenance of Certi cation (MOC-4) is an example of a structured Quality Improvement (QI) project approved by the American Boards of Pediatrics and of Family Medicine, required of physicians to maintain Board certi cation.…”

Section: Preliminary Effectiveness Of Seekmentioning

confidence: 99%

“…Doing so will advance knowledge in implementation science related to primary care and the prevention of CM. The randomized Type III hybrid design (66) leverages a commitment by 5 major healthcare systems to implement SEEK, enabling a rigorous evaluation of implementation strategies to optimize the adoption and delivery of SEEK in primary care settings, and subsequent prevention of CM: the independent online (IND) (59-61) versus in-depth structured MOC training (62)(63)(64). We will also observe the impact of using the SEEKonline and the Traditional approach to guide delity of model delivery.…”

Section: Aimsmentioning

confidence: 99%

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Protocol for Comparing Two Training Approaches for Primary Care Professionals Implementing the Safe Environment for Every Kid (SEEK) Model

Dubowitz

Saldana

Magder

et al. 2020

Preprint

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Abstract Background: Child maltreatment (CM) is a major public health problem, affecting many lives, in the short-and long-term, and costing individuals, families and society dearly. There is a need for broad implementation of evidence-based preventive interventions, such as the Safe Environment for Every Kid (SEEK) model, developed for pediatric primary care. Primary care offers an excellent opportunity to help address prevalent psychosocial problems (e.g., parental depression) that are risk factors for CM. By addressing such problems, SEEK can strengthen families and support parents, promote children’s health, development and safety, help prevent CM, and benefit the health of the US population. This study will examine intervention strategies for optimizing SEEK’s adoption, implementation and sustainment, and its effectiveness in preventing CM. Despite strong evidence from two federally funded randomized controlled trials, SEEK has not been widely adopted. The goal of this study is to examine technology driven implementation strategies to scale-up SEEK - in pediatric and family medicine primary care settings. The aims are to: 1) evaluate the effectiveness of training strategies on SEEK’s implementation in primary care practices; 2) evaluate barriers and facilitators to successful implementation and sustainment of SEEK; and 3) examine the model’s effectiveness in preventing CM and the economic costs of implementing SEEK.Methods: This randomized Type III hybrid mixed methods design will examine how advances in medical training can bolster SEEK’s adoption and implementation in pediatric and family medicine practices in different regions of the U.S. These are independent online training and in-depth structured training via a Quality Improvement project, approved by the American Boards of Pediatrics and of Family Medicine. We will also evaluate SEEKonline, software that assists primary care practitioners implement the model, and a “Traditional” paper and pencil strategy for their impact on implementation. The study uses the EPIS framework and the Universal Stages of Implementation Completion, quantitative measures, qualitative interviews and data abstracted from electronic health records. Discussion: The knowledge gained should improve pediatric primary care to better address prevalent social determinants of health, benefiting many children and families. The outcomes should enhance the field of implementation science, and guide future interventions in primary care.Trial Registration: NCT03642327, Clinical Trials, registered 8/21/18, https://register.clinicaltrials.gov

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Section: Preliminary Effectiveness Of Seekmentioning

confidence: 99%

Section: Aimsmentioning

confidence: 99%

Protocol for Comparing Two Training Approaches for Primary Care Professionals Implementing the Safe Environment for Every Kid (SEEK) Model

Dubowitz

Saldana

Magder

et al. 2020

Preprint

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“…45,46 Six studies list the number of participating centers or practices (N = 157). One report was from the National Improvement Partnership Network, which consisted of 15 statewide QI partnerships at the time of the report.…”

Section: The Impact Of Qi Activities For Which Moc Credit Is Awardedmentioning

confidence: 99%

Maintenance of Certification and the Challenge of Professionalism

Nichols

2017

Pediatrics

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Board certification has been part of the social contract in which physicians commit to maintaining up-to-date scientific knowledge and improving the quality of patient care. However, the maintenance of certification program has been controversial. This review summarizes the philosophical underpinnings, published literature, recent improvements, and future directions of the American Board of Pediatrics maintenance of certification program.

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“…Several studies have shown no difference in outcomes for patients cared for by internists with ABIM time-limited vs time-unlimited certifi cates across a panel of ten primary care performance measures [ 21 ], and no difference in ambulatory care-sensitive hospitalizations when comparing internists with ABIM time-unlimited and time-limited certifi cates [ 22 ], though there was a small reduction in the growth differences of costs for a cohort of Medicare benefi ciaries [ 22 ]. Diplomates of American Board of Family Medicine ( ABFM ) who completed Performance in Practice modules related to hypertension showed improvement in most quality measures evaluated; however, though most had chosen lipid control as their quality improvement focus, no improvement was seen for that particular measure [ 23 ]. A similarly designed study evaluating ABFM diplomates ' performance in diabetes care showed that while all physician and patient quality measures improved, no consistent association was seen between improvement and processes of care when comparing physicians with time-limited vs time-unlimited certifi cates [ 24 ].…”

Section: Is the Moc Program Performing As It Should?mentioning

confidence: 99%

Maintenance of Certification: Current Status and Future Considerations

Rakinic¹,

Buie

2016

The ASCRS Textbook of Colon and Rectal Surgery

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Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification

Abstract: Family physicians improved the quality of care for patients with hypertension through MOC. Leveraging MOC across all specialties may become an important support for improving management of conditions that cause considerable morbidity and mortality.

Cited by 18 publications

References 22 publications

Protocol for Comparing Two Training Approaches for Primary Care Professionals Implementing the Safe Environment for Every Kid (SEEK) Model

Protocol for Comparing Two Training Approaches for Primary Care Professionals Implementing the Safe Environment for Every Kid (SEEK) Model

Maintenance of Certification and the Challenge of Professionalism

Maintenance of Certification: Current Status and Future Considerations

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