Engaging primary care practices in studies of improvement: Did you budget enough for practice recruitment?

Lyle J. Fagnan, Theresa L Walunas, Michael L. Parchman, Caitlin L. Dickinson, Katrina M. Murphy, Ross Howell, Kathryn L. Jackson, Margaret B. Madden, James R. Ciesla, Kathryn D. Mazurek, Abel N Kho, Leif I. Solberg

Research output: Contribution to journalArticle

  • 3 Citations

Abstract

PURPOSE The methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown. We describe the recruitment approach, cost, and resources required to recruit and enroll 500 practices in the Northwest and Midwest regional cooperatives participating in the Agency for Healthcare Research and Quality (AHRQ)-funded initiative, EvidenceNOW: Advancing Heart Health in Primary Care. METHODS The project management team of each cooperative tracked data on recruitment methods used for identifying and connecting with practices. We developed a cost-of-recruitment template and used it to record personnel time and associated costs of travel and communication materials. RESULTS A total of 3,669 practices were contacted during the 14-to 18-month recruitment period, resulting in 484 enrolled practices across the 6 states served by the 2 cooperatives. The average number of interactions per enrolled practice was 7, with a total of 29,100 hours and a total cost of $2.675 million, or $5,529 per enrolled practice. Prior partnerships predicted recruiting almost 1 in 3 of these practices as contrasted to 1 in 20 practices without a previous relationship or warm hand-off. CONCLUSIONS Recruitment of practices for large-scale practice quality improvement transformation initiatives is difficult and costly. The cost of recruiting practices without existing partnerships is expensive, costing 7 times more than reaching out to familiar practices. Investigators initiating and studying practice quality improvement initiatives should budget adequate funds to support high-touch recruitment strategies, including building trusted relationships over a long time frame, for a year or more.

LanguageEnglish (US)
PagesS72-S79
JournalAnnals of family medicine
Volume16
DOIs
StatePublished - Apr 1 2018

Fingerprint

Budgets
Primary Health Care
Costs and Cost Analysis
Quality Improvement
Health Services Research
Touch
Financial Management
Hand
Communication
Research Personnel

Keywords

  • Cost
  • Primary care practices
  • Quality improvement
  • Recruitment

ASJC Scopus subject areas

  • Family Practice

Cite this

Fagnan, L. J., Walunas, T. L., Parchman, M. L., Dickinson, C. L., Murphy, K. M., Howell, R., ... Solberg, L. I. (2018). Engaging primary care practices in studies of improvement: Did you budget enough for practice recruitment? Annals of family medicine, 16, S72-S79. https://doi.org/10.1370/afm.2199
Fagnan, Lyle J. ; Walunas, Theresa L ; Parchman, Michael L. ; Dickinson, Caitlin L. ; Murphy, Katrina M. ; Howell, Ross ; Jackson, Kathryn L. ; Madden, Margaret B. ; Ciesla, James R. ; Mazurek, Kathryn D. ; Kho, Abel N ; Solberg, Leif I. / Engaging primary care practices in studies of improvement : Did you budget enough for practice recruitment?. In: Annals of family medicine. 2018 ; Vol. 16. pp. S72-S79.
@article{f856defa3a364c3786a9f95a7715240c,
title = "Engaging primary care practices in studies of improvement: Did you budget enough for practice recruitment?",
abstract = "PURPOSE The methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown. We describe the recruitment approach, cost, and resources required to recruit and enroll 500 practices in the Northwest and Midwest regional cooperatives participating in the Agency for Healthcare Research and Quality (AHRQ)-funded initiative, EvidenceNOW: Advancing Heart Health in Primary Care. METHODS The project management team of each cooperative tracked data on recruitment methods used for identifying and connecting with practices. We developed a cost-of-recruitment template and used it to record personnel time and associated costs of travel and communication materials. RESULTS A total of 3,669 practices were contacted during the 14-to 18-month recruitment period, resulting in 484 enrolled practices across the 6 states served by the 2 cooperatives. The average number of interactions per enrolled practice was 7, with a total of 29,100 hours and a total cost of $2.675 million, or $5,529 per enrolled practice. Prior partnerships predicted recruiting almost 1 in 3 of these practices as contrasted to 1 in 20 practices without a previous relationship or warm hand-off. CONCLUSIONS Recruitment of practices for large-scale practice quality improvement transformation initiatives is difficult and costly. The cost of recruiting practices without existing partnerships is expensive, costing 7 times more than reaching out to familiar practices. Investigators initiating and studying practice quality improvement initiatives should budget adequate funds to support high-touch recruitment strategies, including building trusted relationships over a long time frame, for a year or more.",
keywords = "Cost, Primary care practices, Quality improvement, Recruitment",
author = "Fagnan, {Lyle J.} and Walunas, {Theresa L} and Parchman, {Michael L.} and Dickinson, {Caitlin L.} and Murphy, {Katrina M.} and Ross Howell and Jackson, {Kathryn L.} and Madden, {Margaret B.} and Ciesla, {James R.} and Mazurek, {Kathryn D.} and Kho, {Abel N} and Solberg, {Leif I.}",
year = "2018",
month = "4",
day = "1",
doi = "10.1370/afm.2199",
language = "English (US)",
volume = "16",
pages = "S72--S79",
journal = "Annals of Family Medicine",
issn = "1544-1709",
publisher = "Annals of Family Medicine, Inc",

}

Fagnan, LJ, Walunas, TL, Parchman, ML, Dickinson, CL, Murphy, KM, Howell, R, Jackson, KL, Madden, MB, Ciesla, JR, Mazurek, KD, Kho, AN & Solberg, LI 2018, 'Engaging primary care practices in studies of improvement: Did you budget enough for practice recruitment?' Annals of family medicine, vol. 16, pp. S72-S79. https://doi.org/10.1370/afm.2199

Engaging primary care practices in studies of improvement : Did you budget enough for practice recruitment? / Fagnan, Lyle J.; Walunas, Theresa L; Parchman, Michael L.; Dickinson, Caitlin L.; Murphy, Katrina M.; Howell, Ross; Jackson, Kathryn L.; Madden, Margaret B.; Ciesla, James R.; Mazurek, Kathryn D.; Kho, Abel N; Solberg, Leif I.

In: Annals of family medicine, Vol. 16, 01.04.2018, p. S72-S79.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Engaging primary care practices in studies of improvement

T2 - Annals of Family Medicine

AU - Fagnan, Lyle J.

AU - Walunas, Theresa L

AU - Parchman, Michael L.

AU - Dickinson, Caitlin L.

AU - Murphy, Katrina M.

AU - Howell, Ross

AU - Jackson, Kathryn L.

AU - Madden, Margaret B.

AU - Ciesla, James R.

AU - Mazurek, Kathryn D.

AU - Kho, Abel N

AU - Solberg, Leif I.

PY - 2018/4/1

Y1 - 2018/4/1

N2 - PURPOSE The methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown. We describe the recruitment approach, cost, and resources required to recruit and enroll 500 practices in the Northwest and Midwest regional cooperatives participating in the Agency for Healthcare Research and Quality (AHRQ)-funded initiative, EvidenceNOW: Advancing Heart Health in Primary Care. METHODS The project management team of each cooperative tracked data on recruitment methods used for identifying and connecting with practices. We developed a cost-of-recruitment template and used it to record personnel time and associated costs of travel and communication materials. RESULTS A total of 3,669 practices were contacted during the 14-to 18-month recruitment period, resulting in 484 enrolled practices across the 6 states served by the 2 cooperatives. The average number of interactions per enrolled practice was 7, with a total of 29,100 hours and a total cost of $2.675 million, or $5,529 per enrolled practice. Prior partnerships predicted recruiting almost 1 in 3 of these practices as contrasted to 1 in 20 practices without a previous relationship or warm hand-off. CONCLUSIONS Recruitment of practices for large-scale practice quality improvement transformation initiatives is difficult and costly. The cost of recruiting practices without existing partnerships is expensive, costing 7 times more than reaching out to familiar practices. Investigators initiating and studying practice quality improvement initiatives should budget adequate funds to support high-touch recruitment strategies, including building trusted relationships over a long time frame, for a year or more.

AB - PURPOSE The methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown. We describe the recruitment approach, cost, and resources required to recruit and enroll 500 practices in the Northwest and Midwest regional cooperatives participating in the Agency for Healthcare Research and Quality (AHRQ)-funded initiative, EvidenceNOW: Advancing Heart Health in Primary Care. METHODS The project management team of each cooperative tracked data on recruitment methods used for identifying and connecting with practices. We developed a cost-of-recruitment template and used it to record personnel time and associated costs of travel and communication materials. RESULTS A total of 3,669 practices were contacted during the 14-to 18-month recruitment period, resulting in 484 enrolled practices across the 6 states served by the 2 cooperatives. The average number of interactions per enrolled practice was 7, with a total of 29,100 hours and a total cost of $2.675 million, or $5,529 per enrolled practice. Prior partnerships predicted recruiting almost 1 in 3 of these practices as contrasted to 1 in 20 practices without a previous relationship or warm hand-off. CONCLUSIONS Recruitment of practices for large-scale practice quality improvement transformation initiatives is difficult and costly. The cost of recruiting practices without existing partnerships is expensive, costing 7 times more than reaching out to familiar practices. Investigators initiating and studying practice quality improvement initiatives should budget adequate funds to support high-touch recruitment strategies, including building trusted relationships over a long time frame, for a year or more.

KW - Cost

KW - Primary care practices

KW - Quality improvement

KW - Recruitment

UR - http://www.scopus.com/inward/record.url?scp=85048209942&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048209942&partnerID=8YFLogxK

U2 - 10.1370/afm.2199

DO - 10.1370/afm.2199

M3 - Article

VL - 16

SP - S72-S79

JO - Annals of Family Medicine

JF - Annals of Family Medicine

SN - 1544-1709

ER -