Senior Investigator Michael Parchman, MD, MPH, of KPWHRI's Center for Accelerating Care Transformation, is a nationally recognized scholar in the application of implementation science to improving primary care. As both a family practitioner and health services researcher, he has more than 25 years of experience as a clinician and medical educator.
Dr. Parchman’s research focuses on using complexity science to understand how diverse health care teams can work together to achieve high-quality care. He has been the principal investigator on several projects in ACT Center’s portfolio. One recent example is Healthy Hearts Northwest, a 4-year study to build quality improvement (QI) capacity in smaller primary care practices in Washington, Oregon, and Idaho, funded by the Agency for Healthcare Research and Quality (AHRQ)’s EvidenceNOW initiative. The project demonstrated that smaller practices can improve the cardiovascular health of their patients and build their QI capacity if provided with external support.
Dr. Parchman's other recent ACT Center projects include:
Dr. Parchman is an affiliate professor of family medicine at the UW School of Medicine and of health services at the UW School of Public Health.
Primary care organization and design; quality of primary care; implementation science
Diabetes care; Chronic Care Model implementation
Cardiovascular risk factors and organization of primary care delivery
Primary care organization and design; quality of primary care; implementation science
Using a complex adaptive systems approach to improve outcomes and quality in primary care
Griffiths FE, Lindenmeyer A, Borkan J, Donner Banzhoff N, Lamb S, Parchman M, Sturt J. Case typologies, chronic illness and primary health care. J Eval Clin Pract. 2014 Aug;20(4):513-21. doi: 10.1111/jep.12070. Epub 2013 Jul 29. PubMed
Noel PH, Romero RL, Robertson M, Parchman ML. Key activities used by community-based primary care practices to improve the quality of diabetes care in response to practice facilitation. Qual Prim Care. 2014 Aug;22(4):211-9.
Reid RJ, Parchman ML. Is there value in medical home implementation beyond the electronic health record? Ann Intern Med. 2014 Jun 3;160(11):802-3. doi: 10.7326/M14-0863.
Noel PH, Parchman ML, Palmer RF, Romero RL, Leykum LK, Lanham HJ, Zeber JE, Bowers KW. Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis. BMC Fam Pract. 2014 Mar 29;15(1):57. doi: 10.1186/1471-2296-15-57. PubMed
Lanham HJ, Sittig DF, Leykum LK, Parchman ML, Pugh JA, McDaniel RR. Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. J Am Med Inform Assoc. 2014 Jan 1;21(1):73-81. doi:10.1136/amiajnl-2012-001377. Epub 2013 May 22. PubMed
Ladden MD, Bodenheimer T, Fishman NW, Flinter M, Hsu C, Parchman M, Wagner EH. The emerging primary care workforce: preliminary observations from the primary care team: learning from Effective Ambulatory Practices Project. Acad Med. 2013 Dec;88(12):1830-4. doi: 10.1097/ACM.0000000000000027. Epub 2013 Oct 14. PubMed
Finley EP, Pugh JA, Lanham HJ, Leykum LK, Cornell J, Veerapaneni P, Parchman ML. Relationship quality and patient-assessed quality of care in VA primary care clinics: development and validation of the Work Relationships Scale. Ann Fam Med. 2013 Nov-Dec;11(6):543-9. doi: 10.1370/afm.1554. PubMed
Labreche MJ, Lee GC, Attridge RT, Mortensen EM, Koeller J, Du LC, Nyren NR, Treviño LB, Treviño SB, Peña J, Mann MW, Muñoz A, Marcos Y, Rocha G, Koretsky S, Esparza S, Finnie M, Dallas SD, Parchman ML, Frei CR. Treatment failure and costs in patients with methicillin-resistant staphylococcus aureus (MRSA) skin and soft tissue infections: a South Texas Ambulatory Research Network (STARNet) study. J Am Board Fam Med. 2013 September-October;26(5):508-17. PubMed
Parchman ML, Noel PH, Culler SD, Lanham HJ, Leykum LK, Romero RL, Palmer RF. A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects. Implement Sci. 2013 Aug 22;8(1):93. doi: 10.1186/1748-5908-8-93. PubMed
Culler SD, Parchman ML, Lozano-Romero R, Noel PH, Lanham HJ, Leykum LK, Zeber JE. Cost estimates for operating a primary care practice facilitation program. Ann Fam Med. 2013;11(3):207-11. doi: 10.1370/afm.1496. PubMed
Michael Parchman, MD, MPH, explores how relationship-building, “sense-making conversations,” and patience can build trust and promote high-value care.
KPWHRI collaborator Dr. L.J. Fagnan shares an effective way to support rural practices, illustrating why "place matters."
KPWHRI’s ACT Center offers online training to help clinicians identify and curb overused services in clinical practice.
KPWHRI researchers uncover obstacles faced by smaller practices when adding CVD risk calculators into primary care.
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