AHRQAHRQ’’s IMPaCT Initiatives IMPaCT Initiative

David Meyers, MDDavid Meyers, MDDirectorDirector

Center for Primary Care, Prevention, & Clinical PartnershipsCenter for Primary Care, Prevention, & Clinical Partnerships

NASHP Webinar December 13, 2011

Why IMPaCT?Why IMPaCT?

A robust primary care system is the A robust primary care system is the foundation for a health care system that foundation for a health care system that delivers high-quality, affordable health care.delivers high-quality, affordable health care.

In addition to payment reform, functional In addition to payment reform, functional health IT and a dedicated workforce, AHRQ health IT and a dedicated workforce, AHRQ believes primary care also needs an believes primary care also needs an infrastructure for practice transformation infrastructure for practice transformation and quality improvement. and quality improvement.

Section 5405 of the ACA authorizes AHRQ Section 5405 of the ACA authorizes AHRQ to organize a national primary care health to organize a national primary care health extension program.extension program. 2

What is IMPaCT?What is IMPaCT?

Cooperative Agreement Grant InitiativeCooperative Agreement Grant Initiative– Infrastructure for Maintaining Primary Care Transformation Infrastructure for Maintaining Primary Care Transformation

(IMPACT)(IMPACT)

Purpose: Purpose: To support model state-level initiatives that provide To support model state-level initiatives that provide infrastructure to small and medium sized independent primary care infrastructure to small and medium sized independent primary care practices in order to support practice transformation and ongoing practices in order to support practice transformation and ongoing quality improvement.quality improvement.

Target:Target: to support successful, established programs that are willing to support successful, established programs that are willing to serve as models to other states and the federal government. to serve as models to other states and the federal government.

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What is IMPaCT?What is IMPaCT?

$500,000 per year for two years to:$500,000 per year for two years to:– Program enhancementsProgram enhancements

– Sustainability planningSustainability planning

– EvaluationEvaluation

– Dissemination activitiesDissemination activities All grantees are required to All grantees are required to ‘‘packagepackage’’ their efforts and lessons their efforts and lessons

learned and create state-level collaborations with at least 3 other learned and create state-level collaborations with at least 3 other state-level coalitions to assist them with their own primary care state-level coalitions to assist them with their own primary care transformation efforts. transformation efforts.

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Who is IMPaCT?Who is IMPaCT?

HEROs: HEROs: New MexicoNew Mexico’’s s Health Extension as a Model for Primary Care Health Extension as a Model for Primary Care TransformationTransformation (PI: Arthur Kaufman, University of New Mexico Health (PI: Arthur Kaufman, University of New Mexico Health Sciences Center)Sciences Center)

North Carolina North Carolina IMPaCT: Advancing and Spreading Primary Care IMPaCT: Advancing and Spreading Primary Care Transformation Transformation (PI: Darren DeWalt, University of North Carolina)(PI: Darren DeWalt, University of North Carolina)

PA PA SPREAD: PA Spreading Primary Care Enhanced Delivery Infrastructure SPREAD: PA Spreading Primary Care Enhanced Delivery Infrastructure (PI: Robert Gabbay, Penn State Hershey College of Medicine)(PI: Robert Gabbay, Penn State Hershey College of Medicine)

Primary Care Extension in Primary Care Extension in OklahomaOklahoma: An Evidence-Based Approach to : An Evidence-Based Approach to Dissemination and ImplementationDissemination and Implementation (PI: James Mold, University of (PI: James Mold, University of Oklahoma Health Sciences Center). Oklahoma Health Sciences Center).

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Highlights from NC IMPaCTHighlights from NC IMPaCT

Emphasis on leadership developmentEmphasis on leadership development History of organizational partnerships within North History of organizational partnerships within North

CarolinaCarolina Focus on building and scaling up a quality Focus on building and scaling up a quality

improvement coach (QIC) programimprovement coach (QIC) program Interest and intent on exploring dissemination Interest and intent on exploring dissemination

partnershipspartnerships

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Where to learn more:Where to learn more:

http://ahrq.hhs.gov/research/impactaw.htmhttp://ahrq.hhs.gov/research/impactaw.htm

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