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:
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.
Primary care organization and design; quality of primary care; implementation science
Diabetes care; Chronic Care Model implementation
Cardiovascular risk factors and organization of primary care delivery
Primary care organization and design; quality of primary care; implementation science
Using a complex adaptive systems approach to improve outcomes and quality in primary care
Ferris R, Blaum C, Kiwak E, Austin J, Esterson J, Harkless G, Oftedahl G, Parchman M, Van Ness PH, Tinetti ME. Perspectives of patients, clinicians, and health system leaders on changes needed to improve the health care and outcomes of older adults with multiple chronic conditions. J Aging Health. 2018 Jun;30(5):778-799. doi: 10.1177/0898264317691166. Epub 2017 Feb 1. PubMed
Parchman ML, Von Korff M, Baldwin LM, Stephens M, Ike B, Cromp D, Hsu C, Wagner EH. Primary care clinic re-design for prescription opioid management. J Am Board Fam Med. 2017 1/2;30(1):44-51. doi: 10.3122/jabfm.2017.01.160183. PubMed
Parchman ML, Henrikson NB, Blasi PR, Buist DS, Penfold R, Austin B, Ganos EH. Taking action on overuse: creating the culture for change. Healthc (Amst). 2016 Nov 10. pii: S2213-0764(16)30167-1. doi: 10.1016/j.hjdsi.2016.10.005. [Epub ahead of print]. PubMed
Noël PH, Jones S, Parchman ML. Patient experience in an era of primary care transformation: revisiting the PACIC. Eur J Pers Cent Healthc. 2016;4(3):528-540. PubMed
Johnson K, Tuzzio L, Renz A, Baldwin LM, Parchman M. Decision-to-implement worksheet for evidence-based interventions in organizations: development and testing in the WWAMI region practice and research network. J Am Board Fam Med. 2016 Sep-Oct;29(5):553-62. doi: 10.3122/jabfm.2016.05.150327. PubMed
Noel P, Parchman ML, Finley EP, Wang CP, Bollinger M, Espinoza SE, Hazuda HP. Primary care-public health linkages: older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers. Prev Med Rep. 2016 Jun 29;4:283-8. doi: 10.1016/j.pmedr.2016.06.023. eCollection 2016. PubMed
Shoemaker SJ, Parchman ML, Fuda KK, Schaefer J, Levin J, Hunt M, Ricciardi R. A review of instruments to measure interprofessional team-based primary care. J Interprof Care. 2016 Jul;30(4):423-32. doi: 10.3109/13561820.2016.1154023. Epub 2016 May 21. PubMed
Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M. How do we learn about improving health care: a call for a new epistemological paradigm. Int J Qual Health Care. 2016 Apr 26. pii: mzw039. [Epub ahead of print]. PubMed
Von Korff M, Dublin S, Walker RL, Parchman M, Shortreed SM, Hansen RN, Saunders K. The impact of opioid risk reduction initiatives on high-dose opioid prescribing for chronic opioid therapy patients. J Pain. 2016 Jan;17(1):101-10. doi: 10.1016/j.jpain.2015.10.002. Epub 2015 Oct 22. PubMed
Leykum LK, Lanham HJ, Pugh J, Parchman ML, Anderson RA, Crabtree BF, Nutting P, Miller W, Stange K, McDaniel Jr RR. Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science. Implement Sci. 2014 Nov 19;9(1):165. doi: 10.1186/s13012-014-0165-1.
Michael Parchman, MD, MPH, explores how relationship-building, “sense-making conversations,” and patience can build trust and promote high-value care.
KPWHRI collaborator Dr. L.J. Fagnan shares an effective way to support rural practices, illustrating why "place matters."
KPWHRI’s ACT Center offers online training to help clinicians identify and curb overused services in clinical practice.
KPWHRI researchers uncover obstacles faced by smaller practices when adding CVD risk calculators into primary care.
The latest on our research on chronic pain and opioids—and how the results influence health policy and clinical practice.