Paul A Nutting
Affiliation: Center for Research Strategies
- Small primary care practices face four hurdles--including a physician-centric mind-set--in becoming medical homesPaul A Nutting
University of Colorado Health Sciences Center, Denver, Colorado, USA
Health Aff (Millwood) 31:2417-22. 2012....
- The role of conversation in health care interventions: enabling sensemaking and learningMichelle E Jordan
Department of Educational Psychology, College of Education, The University of Texas at Austin, Austin, Texas, USA
Implement Sci 4:15. 2009....
- Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration ProjectPaul A Nutting
Center for Research Strategies, 225 East 16th Avenue, Denver, CO 80203, USA
Ann Fam Med 8:S45-56; S92. 2010..We describe the experience of practices in transitioning toward patient-centered medical homes (PCMHs) in the National Demonstration Project (NDP)...
- Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical homePaul A Nutting
Center for Research Strategies, 225 East 16th Avenue, Denver, CO 80203, USA
Ann Fam Med 8:S33-44; S92. 2010....
- Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical homePaul A Nutting
University of Colorado Health Sciences Center and Director of Research, Center for Research Strategies, 225 E 16th Ave, Suite 1150, Denver, Colorado, USA
Ann Fam Med 7:254-60. 2009....
- Transforming physician practices to patient-centered medical homes: lessons from the national demonstration projectPaul A Nutting
Center for Research Strategies, University of Colorado Health Sciences Center, Denver, CO, USA
Health Aff (Millwood) 30:439-45. 2011..It also requires payment reform that supports practice development and a policy environment that sets reasonable expectations and time frames for the adoption of appropriate innovations...
- Care management for depression in primary care practice: findings from the RESPECT-Depression trialPaul A Nutting
The Center for Research Strategies, Denver, Colorado 80203, USA
Ann Fam Med 6:30-7. 2008..This qualitative study examined the barriers to adopting depression care management among 42 primary care clinicians in 30 practices...
- Use of chronic care model elements is associated with higher-quality care for diabetesPaul A Nutting
Center for Research Strategies, Denver, CO 80203, USA
Ann Fam Med 5:14-20. 2007....
- Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trialPaul A Nutting
The Center for Research Strategies, Denver, CO 80203, USA
Adm Policy Ment Health 34:127-37. 2007..Factors associated with inability to sustain the TCM included lack of a shared change strategy throughout the organization and inability to rationalize an economic model of depression care...
- Barriers to initiating depression treatment in primary care practicePaul A Nutting
Center for Research Strategies, Suite 1150, 225 E 16th Avenue, Denver, CO 80203, USA
J Gen Intern Med 17:103-11. 2002..This study used qualitative and quantitative methods to examine the reasons primary care physicians and nurses offered for their inability to initiate guideline-concordant acute-phase care for patients with current major depression...
- Improving detection of suicidal ideation among depressed patients in primary carePaul A Nutting
Center for Research Strategies, Denver, CO 80203, USA
Ann Fam Med 3:529-36. 2005..This report evaluates the effect of 2 primary care interventions on the detection and subsequent referral or treatment of patients with depression and recent suicidal ideation...
- Continuity of primary care: to whom does it matter and when?Paul A Nutting
Center for Research Strategies and the Department of Family Medicine, University of Colorado Health Sciences Center, Denver, Colo 80203, USA
Ann Fam Med 1:149-55. 2003..We hypothesized that continuity would be more important to patients who are older, sicker, and female, who have established a relationship with their physician, and whose visit addresses more complex problems...
- Clinician burden and depression treatment: disentangling patient- and clinician-level effects of medical comorbidityL Miriam Dickinson
Department of Family Medicine, University of Colorado Denver, Aurora, CO, USA
J Gen Intern Med 23:1763-9. 2008..Efforts to improve primary care depression treatment have assessed strategies across heterogeneous groups of patients, but few have examined clinician-level influences on depression treatment...
- Randomized effectiveness trial of a computer-assisted intervention to improve diabetes careRussell E Glasgow
Kaiser Permanente Colorado, Denver, Colorado, USA
Diabetes Care 28:33-9. 2005..This report presents 12-month follow-up results from a computer-assisted, patient-centered intervention to improve the level of recommended services patients received from a variety of primary care settings...
- The frequency and behavioral outcomes of goal choices in the self-management of diabetesPaul A Estabrooks
Clinical Research Unit, Kaiser Permanente Colorado, Aurora, CO, USA
Diabetes Educ 31:391-400. 2005....
- A practical randomized trial to improve diabetes careRussell E Glasgow
Kaiser Permanente Colorado, Denver, 81240, USA
J Gen Intern Med 19:1167-74. 2004..This project reports initial results from a computer-assisted, patient-centered intervention to improve the level of recommended services received by patients from a wide variety of primary care providers...
- Does a depression intervention result in improved outcomes for patients presenting with physical symptoms?Robert D Keeley
Department of Family Medicine, University of Colorado Health Sciences Center, Aurora, Colorado 80045 0508, USA
J Gen Intern Med 19:615-23. 2004..To investigate the effects of exclusively physical presentation of depression on 1). depression management and outcomes under usual care conditions, and 2). the impact of an intervention to improve management and outcomes...
- Effects of a brief computer-assisted diabetes self-management intervention on dietary, biological and quality-of-life outcomesRussell E Glasgow
Kaiser Permanente Colorado, P O Box 378066, Denver, CO 80237 8066, USA
Chronic Illn 2:27-38. 2006..The objective of this study was to evaluate such a computer-assisted intervention...
- Impact of ongoing primary care intervention on long term outcomes in uninsured and insured patients with depressionJeffrey L Smith
Department of Family Medicine, University of Colorado Health Sciences Center, PO Box 6508, 12474 E 19th Avenue, Building 402, Aurora, CO 80045 0508, USA
Med Care 40:1210-22. 2002..To assess the differential impact of an ongoing primary care depression intervention on uninsured and insured patients' outcomes 12, 18, and 24 months following baseline...
- It takes two: using coleaders to champion improvements in small primary care practicesKaia Gallagher
Center forResearch Strategies, Denver, CO 80203, USA
J Am Board Fam Med 23:632-9. 2010..Here we describe further analysis of a successful program to understand the roles of coleaders of a change management process...
- Closing the physician-staff divide: a step toward creating the medical homeBenjamin F Crabtree
Robert Wood Johnson Medical School, New Brunswick, NJ, USA
Fam Pract Manag 15:20-4. 2008
- Inducing sustainable improvement in depression care in primary care practicesDonald E Nease
Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA
Jt Comm J Qual Patient Saf 34:247-55. 2008..Improving primary care depression care is costly and challenging to sustain. The feasibility and potential success ofa modified improvement collaborative model to create sustained improvements in depression care was assessed...
- Specialty referral completion among primary care patients: results from the ASPN Referral StudyChristopher B Forrest
Department of Pediatrics, Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Ann Fam Med 5:361-7. 2007..This study describes referral completion from the perspectives of patients and primary care physicians and identifies predictors of adherence to the referral recommendation...
- Measuring organizational attributes of primary care practices: development of a new instrumentPamela A Ohman Strickland
Department of Family Medicine, UMDNJ RWJMS, One World s Fair Drive, Somerset, NJ 08873, USA
Health Serv Res 42:1257-73. 2007..To develop an instrument to measure organizational attributes relevant for family practices using the perspectives of clinicians, nurses, and staff...
- Improving outcomes for high-risk diabetics using information systemsA John Orzano
Department of Family Medicine Research Division, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, Somerset, NJ 08873, USA
J Am Board Fam Med 20:245-51. 2007..Diabetes care requires management of complex clinical information. We examine the relationship between diabetic outcomes and practices' use of information...
- Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trialAllen J Dietrich
Dartmouth Medical School, HB 7250, Hanover, NH 03755, USA
BMJ 329:602. 2004..To test the effectiveness of an evidence based model for management of depression in primary care with support from quality improvement resources...
- Suicidal ideation and risk levels among primary care patients with uncomplicated depressionHerbert C Schulberg
Weill Medical College of Cornell University, White Plains, NY 10605, USA
Ann Fam Med 3:523-8. 2005..We investigated the prevalence, severity, and course of passive and active suicidal ideation occurring in primary care patients with an uncomplicated depressive disorder...
- Management of type 2 diabetes in the primary care setting: a practice-based research network studyStephen J Spann
Department of Family and Community Medicine, Baylor College of Medicine, Houston, Tex 77098 3926, USA
Ann Fam Med 4:23-31. 2006..We wanted to describe how primary care clinicians care for patients with type 2 diabetes...
- Are attributes of organizational performance in large health care organizations relevant in primary care practices?A John Orzano
Research Division, Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Somerset and Cancer Institute of New Jersey, New Brunswick, USA
Health Care Manage Rev 31:2-10. 2006..Further work is required to adapt or establish the significance of the attributes of management infrastructure and information mastery...
- Robustness of a computer-assisted diabetes self-management intervention across patient characteristics, healthcare settings, and intervention staffRussell E Glasgow
Clinical Research Unit, Kaiser Permanente Colorado, Penrose, CO 81240, USA
Am J Manag Care 12:137-45. 2006..A major problem in the dissemination of most interventions found to be efficacious is that they are of limited or unknown generalizability...
- A fidelity measure for integrated management of depression in primary careThomas E Oxman
Dartmouth Medical School, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
Med Care 44:1030-7. 2006..Integrated models of primary care depression management improve outcomes. Subsequent dissemination efforts and their evaluation need a fidelity measure...
- Family physicians' referral decisions: results from the ASPN referral studyChristopher B Forrest
Health Services Research and Development Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
J Fam Pract 51:215-22. 2002..To examine family physicians' referral decisions, which we conceptualized as having 2 phases: whether to refer followed by to whom to refer...
- How complexity science can inform a reflective process for improvement in primary care practicesChristine K Stroebel
ORBIS International, New York, NY, USA
Jt Comm J Qual Patient Saf 31:438-46. 2005..DISCUSSION: A reflective change process that treats organizations as complex adaptive systems may help practices make sustainable improvements...
- Linking nursing home working conditions to organizational performanceJill Scott-Cawiezell
University of Missouri Columbia, Sinclair School of Nursing, USA
Health Care Manage Rev 30:372-80. 2005..Exploring selected working conditions and performance in nursing homes suggests that high and low performers can be determined based on both quantitative and qualitative findings...
- Variability in physician referral decisionsBarbara Starfield
School of Public Health, Johns Hopkins University, Baltimore, USA
J Am Board Fam Pract 15:473-80. 2002..The impact of this variability on costs and outcome could be considerable and deserves more intensive study...
- Impact of primary care depression intervention on employment and workplace conflict outcomes: is value added?Jeffrey L Smith
Department of Family Medicine, University of Colorado Health Sciences Center, Colorado 80045 0508 USA
J Ment Health Policy Econ 5:43-9. 2002..Depression causes significant functional impairment in sufferers and often leads to adverse employment outcomes for working individuals. Recovery from depression has been associated with better employment outcomes at one year...
- RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaintsL Miriam Dickinson
Department of Family Medicine, University of Colorado Health Sciences Center at Fitzsimons, PO Box 6508, Mail Stop F496, Aurora, CO 80045 0508, USA
Ann Fam Med 3:15-22. 2005..This study proposes to determine whether the intervention affects outpatient costs differentially when comparing patients who have psychological with patients who have physical complaints...
- Moving the frontiers forward: incorporating community-based participatory research into practice-based research networksAnn C Macaulay
Ann Fam Med 4:4-7. 2006
- Primary care physician specialty referral decision making: patient, physician, and health care system determinantsChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Med Decis Making 26:76-85. 2006..To examine the effects of patient, physician, and health care system characteristics on primary care physicians' (PCPs') specialty referral decision making...
- Practice Redesign to Improve Depression Care - PRIDE CarePaul Nutting; Fiscal Year: 2007..A specific aim of the multimethod assess will seek to understand how primary care physicians and practices determine and act on the relative priority of depression care among the competing demands of primary care. ..