Return to Contents Patient Population Description and Practice Panel SizeĮmpaneled to the practice are 4800 patients. During the site visit, the atmosphere in the practice seemed upbeat, active, and open. These patients make up 10–12 percent of Foresight's patients but are not included in physician panels, and Foresight physicians are not their primary care providers.įoresight is currently involved in the Comprehensive Primary Care Initiative, and its culture of team care and quality have developed through a series of collaboratives and QI initiatives. It has a large number of industry clients and serves employees of these clients who have workers' compensation claims. For this reason, the practice is a licensed occupational health site. The local economy is dominated by ranching and energy enterprises, which generate a disproportionate number of worksite injuries. Return to Contents Overview of the Practiceįoresight is a long-established practice that serves the local population of Grand Junction and the surrounding rural area. Foresight practices ongoing QI and invites patient and family input through a Patient and Family Advisory Committee (PFAC). It has a strong team structure with well-developed roles and tasks. Foresight aspires to be the premier primary care practice in its area. Foresight was chosen as an exemplar of a small practice involved in several State and national quality improvement (QI) initiatives such as the Comprehensive Primary Care Initiative, a Centers for Medicare & Medicaid Services multipayer program to improve primary care. Why Foresight Family Physicians?įoresight Family Physicians (Foresight) is a small, independent practice between two large integrated systems in Grand Junction, Colorado, a town of just under 60,000 on the west slope of the Rocky Mountains. The data discussed below were collected on or prior to the visit and reflect calendar year 2014. Team members visited the site on August 26, 2015. The case example report which follows provides an in-depth look at the workforce configuration of Foresight Family Physicians, an independent family practice delivering high-quality, comprehensive medical care (located at 2503 Foresight Cir., Grand Junction, CO 81505). To explore existing innovative workforce configurations, AHRQ and the Abt project team conducted a literature review, explored extant data sources, convened a Technical Expert Workgroup of national experts in primary care workforce, and conducted site visits to primary care practices with innovative workforce configurations. The purpose of the research is to offer models of primary care teams and the associated costs for consideration and discussion by policymakers and providers in the field of health services delivery. The Agency for Healthcare Research and Quality (AHRQ) contracted with Abt Associates and its partners, the MacColl Center for Health Care Innovation and Bailit Health Purchasing, to conduct research on innovative ways to configure primary care workforce teams that can deliver fully comprehensive, high-quality care to the U.S. Implications for Primary Care Staffing Models Patient Population Description and Practice Panel Size Rockville, MD: Agency for Healthcare Research and Quality October 2016. (Prepared by Abt Associates, in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under Contract No.290-2010-00004-I/ 290-32009-T.) AHRQ Publication No. Suggested citation: New Models of Primary Care Workforce and Financing Case Example #4: Foresight Family Physicians. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. The findings and conclusions in this document are those of the authors, who are responsible for its contents the findings and conclusions do not necessarily represent the views of AHRQ. This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract Nos.
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