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
Von Korff M, Saunders K, Dublin S, Walker RL, Thakral M, Sherman KJ, Ludman EJ, Hansen RN, Parchman M, Shortreed SM. Impact of chronic opioid therapy risk reduction initiatives on opioid overdose. 2019 Jan;20(1):108-117. doi: 10.1016/j.jpain.2018.08.003. Epub 2018 Sep 3. PubMed
Sherman KJ, Walker RL, Saunders K, Shortreed SM, Parchman M, Hansen RN, Thakral M, Ludman EJ, Dublin S, Von Korff M. Doctor-patient trust among chronic pain patients on chronic opioid therapy after opioid risk reduction initiatives: a survey. J Am Board Fam Med. 2018;31(4):578-587. doi: 10.3122/jabfm.2018.04.180021. PubMed
Colin NV, Cholan RA, Sachdeva B, Nealy BE, Parchman ML, Dorr DA. Understanding the impact of variations in measurement period reporting for electronic clinical quality measures. eGEMS (Wash DC). 2018 Jul 19;6(1):17. doi: 10.5334/egems.235. PubMed
Noel PH, Wang CP, Finley EP, Espinoza SE, Parchman ML, Bollinger MJ, Hazuda HP. Provider-related linkages between primary care clinics and community-based senior centers associated with diabetes-related outcomes. J Appl Gerontol. 2018 Jun 1:733464818782853. doi: 10.1177/0733464818782853. [Epub ahead of print]. PubMed
Fagnan LJ, Walunas TL, Parchman ML, Dickinson CL, Murphy KM, Howell R, Jackson KL, Madden MB, Ciesla JR, Mazurek KD, Kho AN, Solberg LI. Engaging primary care practices in studies of improvement: did you budget enough for practice recruitment? Ann Fam Med. 2018 Apr;16(Suppl 1):S72-S79. doi: 10.1370/afm.2199. PubMed
Mafi JN, Parchman M. Low-value care: an intractable global problem with no quick fix. BMJ Qual Saf. 2018 May;27(5):333-336. doi: 10.1136/bmjqs-2017-007477. Epub 2018 Jan 13. PubMed
Thakral M, Walker RL, Saunders K, Shortreed SM, Dublin S, Parchman M, Hansen RN, Ludman E, Sherman KJ, Von Korff M. Impact of opioid dose reduction initiatives on chronic opioid therapy patients at higher risk for opioid-related adverse outcomes. Pain Med. 2017 Dec 6. doi: 10.1093/pm/pnx293. [Epub ahead of print]. PubMed
Parchman M, Hsu C, Fagnan L, van Borkulo N, Tuzzio L. Building a learning health care organization: external facilitation tailors support to the learning capacity of primary care settings. J Patient Cent Res Rev. 2017;4:187.
Thakral M, Walker RL, Saunders K, Shortreed SM, Parchman M, Hansen RN, Ludman E, Sherman KJ, Dublin S, Von Korff M. Comparing pain and depressive symptoms of chronic opioid therapy patients receiving dose reduction and risk mitigation initiatives to usual care. J Pain. 2018 Jan;19(1):111-120. doi: 10.1016/j.jpain.2017.09.006. Epub 2017 Oct 13. PubMed
Von Korff M, Walker RL, Saunders K, Shortreed SM, Thakral M, Parchman M, Hansen RN, Ludman E, Sherman KJ, Dublin S. Prevalence of prescription opioid use disorder among chronic opioid therapy patients after health plan opioid dose and risk reduction initiatives. Int J Drug Policy. 2017 Jun 27;46:90-98. doi: 10.1016/j.drugpo.2017.05.053. [Epub ahead of print]. 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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