Denise M Hynes1, Michael J Fischer2, Linda A Schiffer3, Rani Gallardo4, Ifeanyi Beverly Chukwudozie5, Anna Porter6, Michael Berbaum7, Jennifer Earheart3, Marian L Fitzgibbon8. 1. Department of Medicine, Division of Academic Internal Medicine, University of Illinois at Chicago, Chicago, IL, United States; Center for Clinical and Translational Sciences, University of Illinois at Chicago, Chicago, IL, United States; Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States; VA Information Resource Center, Edward Hines Jr. VA Hospital, Hines, IL, United States; Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States. Electronic address: dhynes@uic.edu. 2. Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States; Department of Medicine, Division of Nephrology, University of Illinois at Chicago, Chicago, IL, United States; Jesse Brown VA Medical Center, Chicago, IL, United States. 3. Department of Medicine, Division of Academic Internal Medicine, University of Illinois at Chicago, Chicago, IL, United States. 4. Truven Health Analytics, Chicago, IL, United States. 5. Department of Medicine, Division of Academic Internal Medicine, University of Illinois at Chicago, Chicago, IL, United States; Center for Clinical and Translational Sciences, University of Illinois at Chicago, Chicago, IL, United States. 6. Department of Medicine, Division of Nephrology, University of Illinois at Chicago, Chicago, IL, United States. 7. Center for Clinical and Translational Sciences, University of Illinois at Chicago, Chicago, IL, United States; Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States. 8. Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States; Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, United States.
Abstract
INTRODUCTION: Using a quasi-experimental design, we implemented the Patient-Centered Medical Home for Kidney Disease (PCMH-KD), a comprehensive, multidisciplinary care team to improve quality of life and healthcare coordination for adult chronic hemodialysis (CHD) patients. This paper highlights our experience in the first two years of the study. We focus on the process dimensions of Reach, Adoption, and Implementation within the context of the RE-AIM framework. MATERIALS AND METHODS: We established a new PCMH-KD model at two outpatient dialysis centers. During the intervention phase, adult patients were recruited for participation and data collection. We monitored RE-AIM measures to identify areas for potential adaptation of the care model. RESULTS: During the start-up phase, we engaged patients and stakeholders in planning the intervention, established the new PCMH-KD team, and trained new and continuing clinicians and staff at two dialysis centers. In the intervention phase we recruited 155 patients to participate. Patients had individual visits with the PCP (40%) and the CHWs (92%) (Reach). Patient feedback informed procedures for appointment scheduling (Adoption). The new PCMH-KD team members were consistent in their roles. With staff changes, some responsibilities were adapted for cross coverage (Implementation). IMPLICATIONS: After one year of start-up and one year of intervention, active monitoring of Reach, Implementation and Adoption measures have facilitated necessary adaptions in the planned intervention to accommodate scheduling demands and patient feedback in the PCMH-KD model. Insights from this trial may inform care of CHD patients more broadly.
INTRODUCTION: Using a quasi-experimental design, we implemented the Patient-Centered Medical Home for Kidney Disease (PCMH-KD), a comprehensive, multidisciplinary care team to improve quality of life and healthcare coordination for adult chronic hemodialysis (CHD) patients. This paper highlights our experience in the first two years of the study. We focus on the process dimensions of Reach, Adoption, and Implementation within the context of the RE-AIM framework. MATERIALS AND METHODS: We established a new PCMH-KD model at two outpatient dialysis centers. During the intervention phase, adult patients were recruited for participation and data collection. We monitored RE-AIM measures to identify areas for potential adaptation of the care model. RESULTS: During the start-up phase, we engaged patients and stakeholders in planning the intervention, established the new PCMH-KD team, and trained new and continuing clinicians and staff at two dialysis centers. In the intervention phase we recruited 155 patients to participate. Patients had individual visits with the PCP (40%) and the CHWs (92%) (Reach). Patient feedback informed procedures for appointment scheduling (Adoption). The new PCMH-KD team members were consistent in their roles. With staff changes, some responsibilities were adapted for cross coverage (Implementation). IMPLICATIONS: After one year of start-up and one year of intervention, active monitoring of Reach, Implementation and Adoption measures have facilitated necessary adaptions in the planned intervention to accommodate scheduling demands and patient feedback in the PCMH-KD model. Insights from this trial may inform care of CHD patients more broadly.
Authors: Denise M Hynes; Michael Fischer; Marian Fitzgibbon; Anna C Porter; Michael Berbaum; Linda Schiffer; Ifeanyi B Chukwudozie; Hai Nguyen; Jose Arruda Journal: J Gen Intern Med Date: 2019-07-24 Impact factor: 5.128
Authors: Ifeanyi Beverly Chukwudozie; Marian L Fitzgibbon; Linda Schiffer; Michael Berbaum; Cheryl Gilmartin; Pyone David; Eson Ekpo; Michael J Fischer; Anna C Porter; Alana Aziz-Bradley; Denise M Hynes Journal: Transl Behav Med Date: 2018-05-23 Impact factor: 3.046
Authors: Samuel A Silver; Sarah E Bota; Eric McArthur; Kristin K Clemens; Ziv Harel; Kyla L Naylor; Manish M Sood; Amit X Garg; Ron Wald Journal: Clin J Am Soc Nephrol Date: 2020-03-05 Impact factor: 8.237
Authors: Rebecca Tomaschek; Patricia Lampart; Anke Scheel-Sailer; Armin Gemperli; Christoph Merlo; Stefan Essig Journal: Int J Integr Care Date: 2022-08-08 Impact factor: 2.913
Authors: Bjorg Thorsteinsdottir; Priya Ramar; LaTonya J Hickson; Megan S Reinalda; Robert C Albright; Jon C Tilburt; Amy W Williams; Paul Y Takahashi; Molly M Jeffery; Nilay D Shah Journal: BMC Nephrol Date: 2017-10-25 Impact factor: 2.388