Themes | Exemplar quotes | N (% of responses) |
---|---|---|
Population Panel Management | ||
(e.g., application, process or content) | “Good to routinely go through a list of patients and find those that have fallen through the cracks. This kind of PM time should be available to all providers.” “It’s easier than I thought to follow up on diabetics.” | 46 (56%) |
Systems Resources | ||
- Data Tools (e.g., disease registries, electronic health record, opioid prescription registry) | “The Primary Care almanac is a useful tool.” “Use the WA PMP [Prescription Monitoring Program].” | 30 (37%) |
- Immediate Team Members (e.g., nurse, clinical pharmacy specialist) | “Use pharmacists & nurses for care coordination instead of just the PCP.” “Reasons pts go to ER are myriad. My team & I can prevent some of them.” | 12 (15%) |
- Consultative Services (e.g., nutrition, Endocrinology Consult) | “Small changes; always try to address [obesity]; always mention MOVE [group-visit-based exercise program]! Refer to nutritionists if appropriate.” “Take advantage of Pain Service.” | 14 (17%) |
Clinical Knowledge | ||
(e.g., diagnosis, treatment, and/or management of disease or process of care) | “Avoid mixing opioids.” “Chlorthalidone good first line antihypertensive. Close follow-up when starting treatment.” | 22 (27%) |