Primary Care Clinic Re-Design for Prescription Opioid Management.

Background: The challenge of responding to prescription opioid overuse within the United States has fallen disproportionately on the primary care clinic setting. Here we describe a framework comprised of 6 Building Blocks to guide efforts within this setting to address the use of opioids for chronic pain.

Methods: Investigators conducted site visits to thirty primary care clinics across the United States selected for their use of team-based workforce innovations.

Joy and challenges in improving chronic illness care: capturing daily experiences of academic primary care teams.

Background: Two chronic care collaboratives (The National Collaborative and the California Collaborative) were convened to facilitate implementing the chronic care model (CCM) in academic medical centers and into post-graduate medical education.

Objective: We developed and implemented an electronic team survey (ETS) to elicit, in real-time, team member's experiences in caring for people with chronic illness and the effect of the Collaborative on teams and teamwork.

Design: The ETS is a qualitative survey based on Electronic Event Sampling Methodology.

A multi-institutional quality improvement initiative to transform education for chronic illness care in resident continuity practices.

Background: There is a gap between the need for patient-centered, evidence-based primary care for the large burden of chronic illness in the US, and the training of resident physicians to provide that care.

Objective: To improve training for residents who provide chronic illness care in teaching practice settings.

Design: US teaching hospitals were invited to participate in one of two 18-month Breakthrough Series Collaboratives-either a national Collaborative, or a subsequent California Collaborative-to implement the Chronic Care Model (CCM) and related curriculum changes in resident practices.