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Transforming Primary Care Practice and Education: Lessons From 6 Academic Learning Collaboratives
Ursula Koch1, Asaf Bitton, Bruce E Landon
1Federal Office of Public Health, Bern, Switzerland, and Institute of Primary Care, University of Zürich, Zürich, Switzerland (Ms Koch); Center for Primary Care (Drs Bitton and Phillips), Harvard Medical School, Boston, Massachusetts (Ms Koch); Division of General Medicine, Brigham and Women's Hospital, Boston, Massachusetts (Dr Bitton); and Harvard Medical School, and Beth Israel Deaconess Medical Center, Boston, Massachusetts (Dr Landon).
Academic teaching practices are slow to adopt new primary care models. A national analysis of 6 academic learning collaboratives reveals a 3-phase framework that can guide practice transformation, highlighting the need for tailored support.
Area of Science:
- Healthcare Management
- Primary Care Innovation
- Academic Medicine
Background:
- The adoption of novel primary care models within academic teaching practices has historically been slow.
- Academic institutions face unique challenges in implementing practice transformation initiatives.
Purpose of the Study:
- To describe a common framework utilized by academic learning collaboratives for primary care practice transformation.
- To provide a roadmap for academic practices seeking to emulate successful transformation efforts.
Main Methods:
- Analysis of data from 6 national academic learning collaboratives.
- Identification and detailing of distinct phases within the collaborative transformation process.
Main Results:
- A 3-phase framework was identified as common to the analyzed learning collaboratives.
- The study details the specific activities and progression within each phase of transformation.
- Learning collaboratives demonstrate potential for fostering transformation in complex academic settings.
Conclusions:
- Academic learning collaboratives can effectively drive primary care transformation, even in complex environments.
- Specific, tailored support is crucial for addressing the unique challenges faced by academic practices during transformation efforts.
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