PMID- 27613787
OWN - NLM
STAT- MEDLINE
DCOM- 20171102
LR  - 20211204
IS  - 1558-7118 (Electronic)
IS  - 1557-2625 (Linking)
VI  - 29
IP  - 5
DP  - 2016 Sep-Oct
TI  - Local Learning Collaboratives to Improve Quality for Chronic Kidney Disease 
      (CKD): From Four Regional Practice-based Research Networks (PBRNs).
PG  - 543-52
LID - 10.3122/jabfm.2016.05.160049 [doi]
AB  - BACKGROUND: Four practice-based research networks (PBRNs) participated in a 
      project to increase the diffusion of evidence-based treatment guidelines for 
      chronic kidney disease (CKD). A multicomponent organizational intervention 
      engaged regionally proximal primary care practices in a series of facilitated 
      meetings, referred to as local learning collaboratives (LLCs). METHODS: The 
      2-wave strategy began with 8 practices in each PBRN receiving practice 
      facilitation and subsequently joining an LLC. A sequential mixed-methods design 
      addressed the conduct, content, and fidelity of the intervention; clinicians in 2 
      PBRNs participated in interviews, and PBRN coordinators reflected on 
      implementation challenges. RESULTS: LLCs were formed in 3 PBRNs, with 121 monthly 
      meetings held across 20 LLCs. Slightly more than half of the participants were 
      clinicians. Qualitative data suggest that clinicians increased the priority for 
      CKD care, improved knowledge and skills, were satisfied with the project, and 
      attempted to improve care. Implementation challenges were encountered and 
      concerns about sustainability expressed. CONCLUSION: While PBRNs can successfully 
      leverage resources to diffuse treatment guidelines, and LLCs are well-accepted by 
      clinical staff, the formation of LLCs was not feasible for 1 PBRN, and others 
      struggled to meet regularly and have performance data available despite logistic 
      support.
CI  - (c) Copyright 2016 by the American Board of Family Medicine.
FAU - Lipman, Paula Darby
AU  - Lipman PD
AD  - From Westat, Rockville, MD (PDL); and the Department of Family & Preventive 
      Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (CBA). 
      paulalipman@westat.com.
FAU - Aspy, Cheryl B
AU  - Aspy CB
AD  - From Westat, Rockville, MD (PDL); and the Department of Family & Preventive 
      Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (CBA).
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Am Board Fam Med
JT  - Journal of the American Board of Family Medicine : JABFM
JID - 101256526
SB  - IM
CIN - J Am Board Fam Med. 2016 Sep-Oct;29(5):521-4. PMID: 27613782
MH  - Cooperative Behavior
MH  - Evidence-Based Medicine/*standards
MH  - Feasibility Studies
MH  - Health Services Research/*organization & administration
MH  - Humans
MH  - Intersectoral Collaboration
MH  - Practice Guidelines as Topic
MH  - Primary Health Care/*standards
MH  - *Quality Improvement
MH  - Regional Medical Programs/standards
MH  - Renal Insufficiency, Chronic/*therapy
MH  - Translational Research, Biomedical/*organization & administration
OTO - NOTNLM
OT  - Chronic Renal Insufficiency
OT  - Cooperative Behavior
OT  - Learning
OT  - Practice-based Research
OT  - Primary Health Care
EDAT- 2016/09/11 06:00
MHDA- 2017/11/03 06:00
CRDT- 2016/09/11 06:00
PHST- 2016/01/29 00:00 [received]
PHST- 2016/04/19 00:00 [accepted]
PHST- 2016/09/11 06:00 [entrez]
PHST- 2016/09/11 06:00 [pubmed]
PHST- 2017/11/03 06:00 [medline]
AID - 29/5/543 [pii]
AID - 10.3122/jabfm.2016.05.160049 [doi]
PST - ppublish
SO  - J Am Board Fam Med. 2016 Sep-Oct;29(5):543-52. doi: 10.3122/jabfm.2016.05.160049.