PCMH in a College Setting: A Brown Primary Care Transformation Initiative

Victoria Adewale; Joanna Brown; Renee Shield; Roberta Goldman; Arthur A Frazzano; Unab Khan; Edward Wheeler Jr; Monica L Kunkel; Jeffrey Borkan

PCMH in a College Setting: A Brown Primary Care Transformation Initiative

R I Med J (2013). 2020 Oct 1;103(8):73-77.

Authors

Victoria Adewale¹, Joanna Brown², Renee Shield³, Roberta Goldman⁴, Arthur A Frazzano⁵, Unab Khan⁶, Edward Wheeler Jr⁷, Monica L Kunkel⁸, Jeffrey Borkan⁹

Affiliations

¹ Resident Physician, Thomas Jefferson University Hospital, Philadelphia, PA.
² Clinical Associate Professor of Family Medicine, Alpert Medical School of Brown University, Providence, RI.
³ Professor of Health Services, Policy & Practice (Clinical), Alpert Medical School of Brown University, Providence, RI.
⁴ Clinical Professor of Family Medicine, Alpert Medical School of Brown University, Providence, RI.
⁵ Clinical Associate Professor Emeritus of Family Medicine, Alpert Medical School of Brown University, Providence, RI.
⁶ Associate Professor and Chair, Department of Family Medicine, The Aga Khan University, Pakistan.
⁷ Former Director of Brown University Health Services.
⁸ Associate Director of Nursing, Columbia Health, NYC, NY.
⁹ Chair & Professor, Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI.

PMID: 33003685

Abstract

While the PCMH is the primary care model of choice for many healthcare systems, it is a relatively new area for college communities. The college health setting provides an important and challenging primary care platform because of developmental milestones that young adults face at this time of their lives. The Brown Primary Care Transformation Initiative (BPCTI) facilitated PCMH practice transformation efforts within a university center from 2013-2015. A mixed methods evaluative approach was used for baseline and follow-up periods as part of a broader transformation initiative that included interviews, surveys, focus groups, and observations. The college health practice was engaged in a number of other transformation activities concurrently. Results suggest that these multiple efforts, of which BPCTI's facilitation was one, together had a positive effect in this college health setting. This intervention provides a unique window into strengths and challenges for a college health practice as it seeks to transform its provision of primary care.

Keywords: PCMH; college; practice transformation; primary care.

MeSH terms

Delivery of Health Care
Focus Groups
Humans
Patient-Centered Care*
Primary Health Care*
Universities*