RT Journal Article
SR Electronic
T1 Implementation of Community-Based Resource Referrals for Cardiovascular Disease Self-Management
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 486
OP 495
DO 10.1370/afm.2583
VO 18
IS 6
A1 Emily Abramsohn
A1 Megan DePumpo
A1 Kelly Boyd
A1 Tiffany Brown
A1 Milton F. Garrett III
A1 Abel Kho
A1 Chenab Navalkha
A1 Kelsey Paradise
A1 Stacy Tessler Lindau
YR 2020
UL http://www.annfammed.org/content/18/6/486.abstract
AB PURPOSE Describe primary care practices’ implementation of CommunityRx-H3, a community resource referral intervention that utilized practice facilitators to support cardiovascular disease (CVD) prevention quality improvement.METHODS Qualitative focus groups were conducted with practice facilitators to elicit perceptions of practices’ experiences with CommunityRx-H3, practice-level factors affecting, and practice facilitator strategies to promote implementation. Qualitative data were analyzed using directed content analysis. The Consolidated Framework for Implementation Research was applied deductively to organize and interpret findings.RESULTS Fourteen of all 19 practice facilitators participated. Practice facilitators perceived that staff attitudes about connecting patients to community resources for CVD were largely positive. Practices were already using a range of non-systematic strategies to refer to community resources. Practice-level factors that facilitated CommunityRx-H3 implementation included clinician “champions,” engaged practice managers, and a practice culture that valued community resources. Implementation barriers included a practice’s unwillingness to integrate the intervention into existing workflows, limited staff capacity to complete the resource inventory, and unavailability or cost of materials needed to print the resource referral list (“HealtheRx-H3”). Practice facilitator strategies to promote implementation included supporting ongoing customization of the HealtheRx-H3 and material support. Practice facilitators felt implementation would be improved by integration of CommunityRx-H3 with electronic medical record workflows and alternative methods for engaging practices in the implementation process.CONCLUSIONS Practice facilitators are increasingly being utilized by primary care practices to support quality improvement interventions and, as shown here, can also play an important role in implementation science. This study yields insights to improve implementation of community resource referral solutions to support primary care CVD prevention efforts.