This research focuses on the relationships and activities between actors and systems internal to health care organizations and health care provision teams.
Understanding and Implementing Care Teams: Building a Community of Practice
A grant from the University of Minnesota’s Institute for Advanced Study (IAS) is allowing CCORD to facilitate collaborative work, which proposes to build a community practice focused on care teams. This collaborative seeks to break down silos and encourage integration by sharing knowledge through presentations and meetings and encouraging the formation of research. This will facilitate identifying fundable care team research that will contribute to the improvement of health care, in the United States and in other countries, and extend our knowledge of how such teams can be effectively organized. As part of this work, CCORD is organizing an invitational meeting on Transforming Primary Care in the United States and England.
Improving Networks and Teamwork in Assertive Community Treatment Teams (INTACT)
This research examines the causes and consequences of a positive constructive context. The constructive context of a team, its positive affect, psychological safety, constructive controversy, and social capital facilitate care team improvement and adoption of evidence based practices. The research significantly extends prior research on teams because it focuses on the impact of social networks, the web of relationships (i.e., advice, trust, workflow, friendship ties) connecting team members. Social networks are likely to be particularly important causes of a constructive team context that supports the diffusion of clinical evidence based practices and the formation of high performance learning care teams.
This work was initially funded by the National Science Foundation and is continuing a collaboration with colleagues in the University of Minnesota Department of Sociology and Carlson School of Management.
Coordination of Care in Primary Health Care in the United Kingdom
The objective of this research is to identify the mechanisms by which practices seek to coordinate care for patients with multiple problems and the impact of these mechanisms on the quality and outcome of care. The findings will show how ant to what extent care coordination is necessary to high quality care; provide tools for measuring care coordination and its outcomes; and suggest ways in which care coordination may be improved, leading to better quality outcomes for patients.
This research is led by the National Primary Care Research and Development Centre (NPCRDC), Manchester, England.
Evaluation of Care Guides in the Primary Care Office
This study develops and tests the use of lay ‘care guides’ as patient care coordinators and organizers in primary care clinics. The goal is to develop an efficient, sustainable model for improving chronic disease outcomes. This study has expanded from a successful pilot located in one clinic to a randomized controlled trial in multiple clinics within the Allina Hospitals & Clinics system. This study is led by Dr. Richard Adair, Allina Hospitals & Clinics and Jon Christianson, PhD, and is funded by the Robina Foundation.