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Primary Care Projects
ICH collaborates with a variety of partners on primary care projects. Some of our projects include the following:
Safety Net Infrastructure Initiative
The Safety Net Research Infrastructure Initiative of the Harvard Catalyst Community Health Innovation and Research Program (HC-CHIRP) seeks to provide resources and training to build individual provider and organizational capacity for safety net health centers to engage in research and quality improvement initiatives.
The SNI offers the following:
- Protected time to provider and staff champions to engage in research activities
- Group learning sessions to facilitate engagement in primary care research
- Individual mentoring and consultation in developing research partnerships, research methods and design, data coding and cleaning, data analysis, proposal development, dissemination, and the translation of research evidence into clinical practice
The Initiative also developed a resource for building research infrastructure at community health centers. This 8-module primary care research toolkit is hosted at the Harvard Catalyst website, and can be found here.
Commonwealth Fund/CHA Accountable Care Organization Evaluation
In May 2012, ICH was awarded a grant from the Commonwealth Fund to conduct a case study of the Cambridge Health Alliance’s transformation into an Accountable Care Organization (ACO). The overarching goal of the case study is to capture the process of ACO-PCMH (Patient Centered Medical Home) transformation and the challenges involved for safety net providers, extracting generalizable lessons learned for other safety-net systems.
ICH is collaborating with investigators from the Health Industry Forum at Brandeis University to conduct the study. Researchers employ a mixed methods approach, including interviews with CHA leadership and front line staff, an extensive review of internal documents, and an interrupted time series (ITS) analysis to examine the impact of global payment arrangement (GPA) on the total health care expenditures of a subset of CHA patients.