Paul A Nutting

Summary

Affiliation: Center for Research Strategies
Country: USA

Publications

  1. doi request reprint Small primary care practices face four hurdles--including a physician-centric mind-set--in becoming medical homes
    Paul A Nutting
    University of Colorado Health Sciences Center, Denver, Colorado, USA
    Health Aff (Millwood) 31:2417-22. 2012
  2. pmc The role of conversation in health care interventions: enabling sensemaking and learning
    Michelle E Jordan
    Department of Educational Psychology, College of Education, The University of Texas at Austin, Austin, Texas, USA
    Implement Sci 4:15. 2009
  3. pmc Barriers to initiating depression treatment in primary care practice
    Paul A Nutting
    Center for Research Strategies, Suite 1150, 225 E 16th Avenue, Denver, CO 80203, USA
    J Gen Intern Med 17:103-11. 2002
  4. pmc Use of chronic care model elements is associated with higher-quality care for diabetes
    Paul A Nutting
    Center for Research Strategies, Denver, CO 80203, USA
    Ann Fam Med 5:14-20. 2007
  5. pmc Care management for depression in primary care practice: findings from the RESPECT-Depression trial
    Paul A Nutting
    The Center for Research Strategies, Denver, Colorado 80203, USA
    Ann Fam Med 6:30-7. 2008
  6. pmc Improving detection of suicidal ideation among depressed patients in primary care
    Paul A Nutting
    Center for Research Strategies, Denver, CO 80203, USA
    Ann Fam Med 3:529-36. 2005
  7. pmc Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home
    Paul 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
  8. pmc Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home
    Paul A Nutting
    Center for Research Strategies, 225 East 16th Avenue, Denver, CO 80203, USA
    Ann Fam Med 8:S33-44; S92. 2010
  9. ncbi request reprint Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trial
    Paul A Nutting
    The Center for Research Strategies, Denver, CO 80203, USA
    Adm Policy Ment Health 34:127-37. 2007
  10. pmc Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project
    Paul A Nutting
    Center for Research Strategies, University of Colorado Health Sciences Center, Denver, CO, USA
    Health Aff (Millwood) 30:439-45. 2011

Research Grants

Detail Information

Publications40

  1. doi request reprint Small primary care practices face four hurdles--including a physician-centric mind-set--in becoming medical homes
    Paul A Nutting
    University of Colorado Health Sciences Center, Denver, Colorado, USA
    Health Aff (Millwood) 31:2417-22. 2012
    ....
  2. pmc The role of conversation in health care interventions: enabling sensemaking and learning
    Michelle E Jordan
    Department of Educational Psychology, College of Education, The University of Texas at Austin, Austin, Texas, USA
    Implement Sci 4:15. 2009
    ....
  3. pmc Barriers to initiating depression treatment in primary care practice
    Paul 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...
  4. pmc Use of chronic care model elements is associated with higher-quality care for diabetes
    Paul A Nutting
    Center for Research Strategies, Denver, CO 80203, USA
    Ann Fam Med 5:14-20. 2007
    ....
  5. pmc Care management for depression in primary care practice: findings from the RESPECT-Depression trial
    Paul 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...
  6. pmc Improving detection of suicidal ideation among depressed patients in primary care
    Paul 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...
  7. pmc Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home
    Paul 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
    ....
  8. pmc Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home
    Paul A Nutting
    Center for Research Strategies, 225 East 16th Avenue, Denver, CO 80203, USA
    Ann Fam Med 8:S33-44; S92. 2010
    ....
  9. ncbi request reprint Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trial
    Paul 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...
  10. pmc Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project
    Paul 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...
  11. pmc Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project
    Paul 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)...
  12. pmc 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...
  13. pmc Clinician burden and depression treatment: disentangling patient- and clinician-level effects of medical comorbidity
    L 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...
  14. ncbi request reprint Randomized effectiveness trial of a computer-assisted intervention to improve diabetes care
    Russell 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...
  15. pmc 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...
  16. ncbi request reprint The frequency and behavioral outcomes of goal choices in the self-management of diabetes
    Paul A Estabrooks
    Clinical Research Unit, Kaiser Permanente Colorado, Aurora, CO, USA
    Diabetes Educ 31:391-400. 2005
    ....
  17. pmc A practical randomized trial to improve diabetes care
    Russell 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...
  18. ncbi request reprint Effects of a brief computer-assisted diabetes self-management intervention on dietary, biological and quality-of-life outcomes
    Russell 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...
  19. doi request reprint It takes two: using coleaders to champion improvements in small primary care practices
    Kaia 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...
  20. ncbi request reprint Impact of ongoing primary care intervention on long term outcomes in uninsured and insured patients with depression
    Jeffrey 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...
  21. doi request reprint A qualitative comparison of primary care clinicians' and their patients' perspectives on achieving depression care: implications for improving outcomes
    Robert D Keeley
    Department of Family Medicine, University of Colorado, Denver, Mail Stop F 496, Academic Office 1, 12631 E, 17th Ave, Aurora, CO 80045, USA
    BMC Fam Pract 15:13. 2014
    ..The objective of this qualitative study was to compare primary care clinicians' and their patients' perceptions of the patients' experiences, expectations and preferences as they try to achieve care for depression...
  22. ncbi request reprint Robustness of a computer-assisted diabetes self-management intervention across patient characteristics, healthcare settings, and intervention staff
    Russell 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...
  23. pmc Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trial
    Allen 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...
  24. pmc Suicidal ideation and risk levels among primary care patients with uncomplicated depression
    Herbert 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...
  25. ncbi request reprint Inducing sustainable improvement in depression care in primary care practices
    Donald 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...
  26. ncbi request reprint Closing the physician-staff divide: a step toward creating the medical home
    Benjamin F Crabtree
    Robert Wood Johnson Medical School, New Brunswick, NJ, USA
    Fam Pract Manag 15:20-4. 2008
  27. pmc Specialty referral completion among primary care patients: results from the ASPN Referral Study
    Christopher 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...
  28. pmc Measuring organizational attributes of primary care practices: development of a new instrument
    Pamela 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...
  29. ncbi request reprint Improving outcomes for high-risk diabetics using information systems
    A 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...
  30. pmc Management of type 2 diabetes in the primary care setting: a practice-based research network study
    Stephen 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...
  31. ncbi request reprint 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...
  32. ncbi request reprint A fidelity measure for integrated management of depression in primary care
    Thomas 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...
  33. ncbi request reprint Family physicians' referral decisions: results from the ASPN referral study
    Christopher 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...
  34. ncbi request reprint Variability in physician referral decisions
    Barbara Starfield
    School of Public Health, Johns Hopkins University, Baltimore, USA
    J Am Board Fam Pract 15:473-80. 2002
    ....
  35. ncbi request reprint 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...
  36. pmc RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaints
    L 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...
  37. ncbi request reprint How complexity science can inform a reflective process for improvement in primary care practices
    Christine K Stroebel
    ORBIS International, New York, NY, USA
    Jt Comm J Qual Patient Saf 31:438-46. 2005
    ..However, most organizations are not accurately described using this framework. Complexity science provides a better fit for understanding small primary care practices...
  38. ncbi request reprint Linking nursing home working conditions to organizational performance
    Jill 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...
  39. pmc Moving the frontiers forward: incorporating community-based participatory research into practice-based research networks
    Ann C Macaulay
    Ann Fam Med 4:4-7. 2006
  40. ncbi request reprint Primary care physician specialty referral decision making: patient, physician, and health care system determinants
    Christopher 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...

Research Grants1

  1. Practice Redesign to Improve Depression Care - PRIDE Care
    Paul 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. ..