Stories of Innovation

Innovation occurs when we break free from an old way of thinking and embrace a more effective way of solving a problem or meeting a need.  At Primary Care Progress, we believe the power of creative thinking is essential to transforming primary care.  Across the country, clinicians have decided they can no longer wait on top-down change in the health care system.  They’re taking primary care innovation into their own hands-- trying out new models and approaches they hope will improve access to and quality of care, provide patients with an overall better experience and reduce the traditional clinician’s workload.  

What does innovation in primary care look like?  There’s no one-size-fits-all approach to innovation in primary care. Just as practices are unique- with different needs, strengths and challenges- so are their approaches to improving health care delivery.  Innovations can be micro or macro.  They might change the way a clinic is staffed.  They might add ipads to the waiting room.  Or they might find a way to introduce young minds to an inspiring field of medicine.
 
We've collected just a small handful of these stories in our video series, "Stories of Innovation."  It's our way of sharing some of the unique and diverse stories of innovation with the primary care community.   We hope these snapshots of innovative people and approaches might provide models, inspiration, and ideas with the community.  We hope they will encourage other innovators to keep going with their projects and to share their stories with the community.
 
What's your innovation story? 
 
Watch the Stories of Innovation


Innovating Education: Future Faces of Family Medicine

 

About this Innovation Story:
Future Faces of Family Medicine or FFFM is one of the most inspiring approaches to supporting primary care that we've seen.  The program was conceived by family medicine physicians, Dr. Randi Sokol, Dr. Charlene Hauser and Dr. Alisha Dyer, when they were residents at UC Davis and Sutter Health. The (then) residents saw a need for a program to bring family medicine to young people-- 
especially those from low-income and ethnic minority backgrounds.  With support from the California Academy of Family Physicians (CAFP)  as well as the cooperation of Sacramento High School, the residents created FFFM.  It was launched two years ago at Sacramento Charter High School to great success.   The program is a credited course in which approximately 20 students meet for discussions, hands-on workshops, and patient care with family medicine residents.  The program is currently expanding to additional schools.


More on FFFM:
http://primarycareprogress.org/blogs/16/110
http://www.cafpfoundation.org/programs/fffm
http://www.sacbee.com/2012/04/12/4407991/family-doctors-try-to-recruit.html?storylink=lingospot

About the Video:
This video was produced by Primary Care Progress with the cooperation of the Future Faces of Family Medicine team including CAFF and Sacramento Charter High School.  

Videographers: Jenette Restivo (Primary Care Progress) and Chris Navalta (CAFP)
Producer/Editor: Jenette Restivo (Primary Care Progress)


Group Learning: Resident-Run Group Visits at Memorial Hospital of Rhode Island


About this Innovation Story:

Family Medicine residents at Memorial Hospital of Rhode Island and the Alpert Medical School at Brown University lead group visits for patients living with diabetes.  The visits, which are part of a new PCMH-rotation within the residency, take on a team-based approach to delivering high quality care for patients. 

About the Innovators:
David Ashley, MD, has been recently appointed to the Medical Staff as the Medical Director of Family Care. Fluent in Spanish, Dr. Ashley earned his medical degree at The Warren Alpert Medical School of Brown University. He completed a family medicine residency at Memorial Hospital. In his role as Medical Director of the Family Care Center, Dr. Ashley works with the residents in the patient centered medical home practice.

Dr. Jeff Borkan is a family physician researcher, educator, clinician, and advocate whose career has bridged two fields (family medicine and medical anthropology), both in the US and abroad (Israel & Tonga). Since medical school, he has been active in family medicine research, as well as being a practicing family physician and resident/student educator. For six years, he was the Coordinator of a national practice based research network and served as the Director of Research in a family medicine department for a decade. Concurrently, he managed the medical services of an isolated desert region in southern Israel, later joining a model teaching practice in the Galilee. He came to Brown after having been the Vice Chair of Behavioral Science at Tel Aviv University, coordinating a major humanistic curriculum reform there. At Brown, Dr. Borkan has spearheaded the growth of the Department of Family Medicine, has been active in Rhode Island health policy, and has been President of national Association of Departments of Family Medicine (2009-10). He has been active in education at the Medical School, leading the first committee charged with designing the Doctoring Program, and currently Chairs the MD Curriculum Committee and the Sub-Committee on Scholarly Concentrations.


About the Clinic:

Memorial Hospital's Family Care Center (FCC) opened in 1975 as a teaching facility and practice base for the Brown Family Medicine Residency Program. The Center provides the highest quality of comprehensive and continuous care to patients and their families throughout the life cycle, with the goal of reducing health disparities for the underserved communities of Pawtucket and Central Falls.  Although the Center has over three decades of experience as a leading primary care provider for well over 10,000 community residents, clinicians continue to improve the practice of medicine. Over the past ten years, the Family Care Center has been moving to achieve a transformation in the care it provides – becoming a highly functioning patient-centered medical home.

About the Video:
This video was produced by Primary Care Progress with the cooperation of  Dr. Jeff Borkan and Dr. David Ashley and team at Memorial Hospital's Family Care Center.  
Videographer: Jenette Restivo (Primary Care Progress)
Producer/Editor: Jenette Restivo (Primary Care Progress)

Resources:
Memorial Hospital's Family Care Center


 
Walking in the Patient's Footsteps: Revere Family Health, Massachusetts


About this Innovation Story:

"Walking in the Patient's Footsteps" is an innovative program practiced at the Revere Family Health Center in Revere, MA.   The program shadows patients throughout their health care experience at the clinic.  Students play a major role in the program.  

About the Innovators:
 
Nikita Srinivasan is an International Health major at Georgetown University.  This past summer, she was the Patient-Centered-Medical Home Development Intern at Cambridge Health Alliance.  Nikita decided to intern at CHA to get more exposure to primary care.
 
Dr. Soma Stout is an internist and pediatrician, Medical Staff President at Cambridge Health Alliance, and Co-Medical Director at Revere Family Health.  One of her roles at CHA is to mentor students in innovation.  

“Students can be invaluable observers and listeners to the patient’s voice in a way people farther along in their careers can’t hear.  Some of our best innovations in our medical home transformation really came from students "Walking in the Footsteps of Patients" - in making those observations caught key things that we didn’t hear or we didn’t know because we just hadn’t heard it."  -Dr. Soma Stout

About the Clinic:

Revere Family Health Center is a Patient-Centered Medical Home site that is part of the Cambridge Health Alliance, an award-winning healthcare system serving the communities north of Boston, MA.  

About the Video:

This video is a collaboration between Revere Family Health Center, Dr. Matt Press (Weill Cornell Medical Center), Eric Lu (Harvard Medical School) and Primary Care Progress.  
Videographer: Eric Lu
Editor: Jenette Restivo (Primary Care Progress)
 
Resources:

Dr. Soma Stout speaking about the primary health care crisis on CNN
Dr. Soma Stout speaking about innovation
Dr. Soma Stout's Progress Note 
R
evere Family Health website


The Check In Tracker: Southeast Health Center, California



About this Innovation Story:

During his year working with Southeast Health Center, David Margolius changed patient management at the clinic by using a shared Google Doc to make it easy for staff and providers to communicate in real time, without walkie-talkies, pagers, and interruptions. 

About the Innovators:
 
David Margolius is a resident at UCSF and is pursuing a career in internal medicine primary care. Between his third and fourth years of medical school at Brown University, David spent a year working with community health center staff and physicians in San Francisco to improve their delivery of primary care. David is working with PCP as our Innovation Collaboratives Team Advisor.

Mark Ghaly, is the Deputy Director for Community Health for the LA County Dept of Health Services. His role at the Dept of Health Services focuses on how community resources and community efforts can help build a stronger and richer health services delivery system in the safety net. Prior to his current position, Dr. Ghaly was the medical director at a San Francisco Dept of Public Health Clinic called Southeast Health Center in the Bayview Hunters Point community. He currently sees patients at the Juvenile Halls and Camps throughout the Los Angeles County. Dr. Ghaly attended Brown University and received his MD and his MPH in health policy from Harvard University. He completed his residency in pediatrics at UCSF. 


About the Clinic:

Southeast Health Center is a community-oriented primary care clinic in San Francisco. Through Healthy San Francisco, a program created by the City of San Francisco, Southeast and other clinics make health care services accessible and affordable for uninsured residents. The program offers a new way for San Francisco residents who do not have health insurance, to have basic and ongoing medical care.

About the Video:

This interview was filmed by Primary Care Progress.
Editor: Brian Blank (Primary Care Progress)
 
Resources:

David Margolius' Progress Notes
Southeast Health Center


Making Room for Education: Baylor Family Medicine, Texas


About this Innovation Story:

"Making Room for Medical Education" is a project that Baylor College of Medicine fourth year medical student, Traci Fraser, took on with the staff of Baylor Family Medicine in Houston.  The goal of the project was to find the resources to add a Medal Educator to the clinic staff.

About the Innovator:

Traci Fraser is a PCP chapter member and a fourth year medical student at Baylor College of Medicine.  A lecture on patient-centered medical homes as a part of her family medicine rotation piqued her interest in the topic and led to a collaboration on an innovation project at Baylor Family Medicine.

About the Clinic:

Baylor Family Medicine is the private practice of faculty physicians from the department of Family and Community Medicine at Baylor College of Medicine in Houston, TX.  Baylor Family Medicine has been recognized for its efforts to improve quality and efficiency of care by the National Committee for Quality Assurance's Physician Practice Connections®-Patient-Centered Medical Home program.

About the Video:

This interview was filmed and edited by Primary Care Progress.
Videographer: Jenette Restivo (Primary Care Progress)
Editor: Jenette Restivo (Primary Care Progress)
 
Resources:
Baylor Family Medicine