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Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value

Award Number: R18HS023913
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)
PERIOD OF PERFORMANCE START DATE: 05/01/2015
PERIOD OF PERFORMANCE END DATE: 04/30/2019

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Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value - ¿ DESCRIPTION (provided by applicant): Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value is an extension of the Virginia Center for Health Innovation's (VCHI) work to address primary care transformation in its Virginia Health Innovation Plan. VCHI, in partnership with four of Virginia's schools of medicine, the Virginia Center for Health Quality (VHQC), and evaluation specialists at George Mason University, will form the Virginia Primary Care Transformation Collaborative (VPCTC). They will use an evidence-based, comprehensive strategy to help up to 300 small-to-medium sized primary care practices: 1) accelerate incorporation of PCOR clinical and organizational findings into practice with an initial focus on cardiovascular health and the ABCS; 2) increase their capacity to integrate new PCOR findings on an on-going basis; and 3) learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. Practice supports will include on-site coaching, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking. As a result of this project, "Restoring Primary Care in Virginia," participating practices will develop stronger QI capacity and learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. The value proposition to recruit and retain participating practices includes: Improved financial performance; improved clinician, staff, and patient satisfaction; objectively improved quality of care; improved ability to negotiate for and receive pay for performance bonuses, including EMR meaningful use stage 2; completion of Part IV certification by the ABFM and ABIM for QI work completed in this initiative; and engagement in a self- sustaining learning collaborative of similar practices after the end of the project. The evaluation plan is designed to answer these questions: (1) Did the VPCTC intervention improve the performance of small physician practices in Virginia as measured by the individual ABCS? (2) Which elements of the intervention were most important to the physicians for performance improvement? (3) Did "maintenance" or follow-up intervention activities add value or was the initial intense interventio enough to produce the measured impact? (4) Which internal contextual or structural features of practices at baseline are most likely to be associated with improved performance (e.g., expansive use of EHRs, degree of adaptive reserve or change processing capacity, number of physicians in the practice, etc.)? (5) Did the VPCTC improve the capacity of small physician practices to implement future PCOR findings and improve quality on an ongoing basis? (6) Which elements of the intervention were most important to the physicians for QI capacity building? Multivariate statistical modeling of clinical performance and survey data will be performed to answer questions 1, 3, and 4. Qualitative interviews, surveys and statistical analysis of survey results will answer questions 2, 5, and 6.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2022 ( Subtotal = -$2,288 )
2022	2017	VIRGINIA COMMONWEALTH UNIVERSITY	910 WEST FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	8/1/2022	NON-COMPETING CONTINUATION	-$2,288
														Subtotal = -$2,288

Issue Date FY: 2019 ( Subtotal = $164,219 )
2019	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	11/9/2018	NON-COMPETING CONTINUATION	$0
2019	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	11/6/2018	NON-COMPETING CONTINUATION	$257,970
2019	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	003	3	1/8/2019	NON-COMPETING CONTINUATION	$0
2019	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	004	3	7/31/2019	NON-COMPETING CONTINUATION	-$93,751
2019	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	002	3	12/11/2018	NON-COMPETING CONTINUATION	$0
														Subtotal = $164,219

Issue Date FY: 2018 ( Subtotal = $0 )
2018	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	11/1/2017	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2017 ( Subtotal = $1,602,028 )
2017	2017	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	003	3	5/2/2017	NON-COMPETING CONTINUATION	$1,602,028
2017	2016	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	002	2	5/2/2017	NON-COMPETING CONTINUATION	$0
2017	2016	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	12/9/2016	NON-COMPETING CONTINUATION	$0
2017	2016	VIRGINIA COMMONWEALTH UNIVERSITY	912 W FRANKLIN ST	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	2/2/2017	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,602,028

Issue Date FY: 2016 ( Subtotal = $3,855,262 )
2016	2016	VIRGINIA COMMONWEALTH UNIVERSITY	327 WEST MAIN STREET	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	4/29/2016	NON-COMPETING CONTINUATION	$3,855,262
														Subtotal = $3,855,262

Issue Date FY: 2015 ( Subtotal = $3,638,887 )
2015	2015	VIRGINIA COMMONWEALTH UNIVERSITY	327 WEST MAIN STREET	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	4/22/2015	NEW	$3,638,887
2015	2015	VIRGINIA COMMONWEALTH UNIVERSITY	327 WEST MAIN STREET	RICHMOND	VA	23284	RICHMOND CITY	USA	Research on Healthcare Costs, Quality and Outcomes	001	1	4/30/2015	NEW	$0
														Subtotal = $3,638,887

Grand Total All Awards = $9,258,109

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Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value

Award Number: R18HS023913

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

PERIOD OF PERFORMANCE START DATE: 05/01/2015

PERIOD OF PERFORMANCE END DATE: 04/30/2019

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