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Program Can Help Patient-Centered Practice Transition

At practices in Alberta, significant impact seen for cognitive task analysis training program

FRIDAY, July 22, 2016 (HealthDay News) — A new study describes a scalable solution for transforming health care delivery in primary care into the patient-centered medical home model. The report was published online July 15 in the Journal of Cognitive Engineering and Decision Making.

Georges Potworowski, from the University at Albany in New York, and Lee A. Green, M.D., M.P.H., from the University of Alberta in Edmonton, Canada, developed a training program for practice facilitators (PFs) to help with the current transformational change in primary care medical practice. The training program helped PFs learn the basics of cognitive task analysis (CTA) to analyze and advise practices on improving macrocognitive functions in order to help them transform. The program included preparatory reading and 14 hours of didactic sessions and guided exercises, conducted over two days, followed by a three-interview progression under actual field conditions.

The researchers found that the data collection, analysis, and reporting were highly structured, and were tailored to primary care requirements and scalable. For practices in Alberta, early experience indicated a significant impact from the resulting CTA reports. CTA skills were spontaneously transferred to other areas of facilitation work.

“In this project we have demonstrated that a simplified CTA can be adapted to train professional change agents to provide low-resource primary care practices actionable insights to help them transform into patient-centered medical homes,” the authors write.

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