Michael Parchman, MD, MPH
“I am passionate about understanding how primary care teams can deliver high-quality care, meet patient needs, and create joy in practice.”
Michael L. Parchman, MD, MPH
Senior Investigator, Center for Accelerating Care Transformation
Associate Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine
206-287-2817
Twitter: @DrMParchman
Biography
Senior Investigator Michael Parchman, MD, MPH, of KPWHRI's Center for Accelerating Care Transformation, is a nationally recognized scholar in the application of implementation science to improving primary care. As both a family practitioner and health services researcher, he has more than 25 years of experience as a clinician and medical educator.
Dr. Parchman’s research focuses on using complexity science to understand how diverse health care teams can work together to achieve high-quality care. He has been the principal investigator on several projects in ACT Center’s portfolio. One recent example is Healthy Hearts Northwest, a 4-year study to build quality improvement (QI) capacity in smaller primary care practices in Washington, Oregon, and Idaho, funded by the Agency for Healthcare Research and Quality (AHRQ)’s EvidenceNOW initiative. The project demonstrated that smaller practices can improve the cardiovascular health of their patients and build their QI capacity if provided with external support.
Dr. Parchman's other recent ACT Center projects include:
- Taking Action on Overuse, a Robert Wood Johnson Foundation-funded fellowship that is training six clinical champions to “de-implement” unnecessary tests and treatments—doing less low-value care that might harm patients;
- Six Building Blocks Program for Opioid Management, which aims to improve safe prescribing of chronic opioid medication for patients with chronic non-cancer pain in primary care clinics. Funded by AHRQ, the National Institutes of Health, and the Washington State Department of Health; and
- The University of Washington (UW) Institute of Translational Health Sciences, which focuses on producing innovative and practical tools and methods that will enable scientists around the region to more effectively translate research discoveries into practice.
Dr. Parchman is an affiliate professor of family medicine at the UW School of Medicine and of health services at the UW School of Public Health.
Research interests and experience
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Health Services & Economics
Primary care organization and design; quality of primary care; implementation science
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Chronic Illness Management
Diabetes care; Chronic Care Model implementation
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Cardiovascular Health
Cardiovascular risk factors and organization of primary care delivery
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Medication Use & Patient Safety
Primary care organization and design; quality of primary care; implementation science
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Complexity Science
Using a complex adaptive systems approach to improve outcomes and quality in primary care
Recent publications
Parchman ML, Palazzo L, Austin BT, Blasi P, Henrikson NB, Gundersen G, Ganos E. Taking action to address medical overuse: common challenges and facilitators. Am J Med. 2020 Feb 4. pii: S0002-9343(20)30052-8. doi: 10.1016/j.amjmed.2020.01.001. [Epub ahead of print]. PubMed
Parchman ML, Ike B, Osterhage KP, Baldwin LM. Barriers and facilitators to implementing changes in opioid prescribing in rural primary care clinics. J Clin Transl Sci. 2020 Jan 10;4(5):425-430. doi: 10.1017/cts.2019.448. PubMed
Jones SW, Parchman ML, Hsu CW, Austin B, Flinter M, Cromp D, Wagner E, McDonald S. Measuring attributes of team functioning in primary care settings: development of the TEAMS tool. J Interprof Care. 2020 May-Jun;34(3):407-413. doi: 10.1080/13561820.2019.1670628. Epub 2019 Oct 1. PubMed
Ike B, Baldwin LM, Sutton S, Van Borkulo N, Packer C, Parchman ML. Staff and clinician work-life perceptions after implementing systems-based improvements to opioid management. J Am Board Fam Med. 2019 Sep-Oct;32(5):715-723. doi: 10.3122/jabfm.2019.05.190027. PubMed
Kaufman A, Dickinson WP, Fagnan LJ, Duffy FD, Parchman ML, Rhyne RL. The role of health extension in practice transformation and community health improvement: lessons from 5 case studies. Ann Fam Med. 2019 Aug 12;17(Suppl 1):S67-S72. doi: 10.1370/afm.2409. PubMed
Parchman ML, Anderson ML, Dorr DA, Fagnan LJ, O’Meara ES, Tuzzio L, Penfold RB, Cook AJ, Hummel J, Conway C, Cholan R, Baldwin LM. A randomized trial of external practice support to improve cardiovascular risk factors in primary care. Ann Fam Med. 2019 Aug 12;17(Suppl 1):S40-S49. doi: 10.1370/afm.2407. PubMed
Parchman ML, Anderson ML, Coleman K, Michaels LA, Schuttner L, Conway C, Hsu C, Fagnan LJ. Assessing quality improvement capacity in primary care practices. BMC Fam Pract. 2019 Jul 25;20(1):103. doi: 10.1186/s12875-019-1000-1. PubMed
Parchman ML, Penfold RB, Ike B, Tauben D, Von Korff M, Stephens M, Stephens KA, Baldwin LM. Team-based clinic redesign of opioid medication management in primary care: effect on opioid prescribing. Ann Fam Med. 2019 Jul;17(4):319-325. doi: 10.1370/afm.2390. PubMed
Baldwin LM, Fischer MA, Powell J, Holden E, Tuzzio L, Fagnan LJ, Hummel J, Parchman ML. A virtual educational outreach intervention in primary care based on the principles of academic detailing. J Contin Educ Health Prof. 2018 Oct 16. doi: 10.1097/CEH.0000000000000224. [Epub ahead of print]. PubMed
Schuttner L, Parchman M. Team-based primary care for the multimorbid patient: matching complexity with complexity. Am J Med. 2019 Apr;132(4):404-406. doi: 10.1016/j.amjmed.2018.09.029. Epub 2018 Oct 6. PubMed
Healthy Findings Blog
Building trust in primary care
Michael Parchman, MD, MPH, explores how relationship-building, “sense-making conversations,” and patience can build trust and promote high-value care.
Healthy Findings Blog
Rural health equity through practice facilitators
KPWHRI collaborator Dr. L.J. Fagnan shares an effective way to support rural practices, illustrating why "place matters."
Free training
How to become a clinical value champion
KPWHRI’s ACT Center offers online training to help clinicians identify and curb overused services in clinical practice.
Research
CVD risk calculation: Can smaller clinics break through?
KPWHRI researchers uncover obstacles faced by smaller practices when adding CVD risk calculators into primary care.
research
Stopping the opioid epidemic: A KPWHRI priority
The latest on our research on chronic pain and opioids—and how the results influence health policy and clinical practice.
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