Strategies for Rural, Small Independent Practices

Webinar Date: 
Monday, August 25, 2014 - 12:00pm to 1:00pm

Meeting Patient-Centered Primary Care Home (PCPCH) program requirements can be especially challenging for rural, small independent primary care practices. These practices face unique issues specifically in the areas of leadership, quality improvement team formation, reporting and reviewing data, and provision of care coordination services. During this webinar, we discuss what obstacles these practices face, hear the perspective of regional practice facilitators who have helped practices assess workflow and involve patients, and learn how small, rural practices have addressed these issues.

Webinar participants will:

  • View PCPCH requirements through lens of what is required for (1) leadership, (2) QI team formation, (3) practice ability to report and review data, and (4) provision of care coordination services

  • Consider what is needed for small, rural practices to transform and improve

  • Hear from small, rural practices about their strategies to improve and change

  • Connect with other practices facing similar challenges


Presented By:


Lyle J. (LJ) Fagnan
Professor of Family Medicine
Oregon Health & Science University

Prior to joining OHSU, LJ was a general medical officer in the Indian Health Service in Bethel, Alaska and a family physician in rural Oregon. His practice in Reedsport, Oregon, founded in 1977, was one of the 13 model rural practices funded by the Robert Wood Johnson Foundation’s Rural Practice Project. In 2002, Dr. Fagnan was selected to start a practice-based research network at OHSU, the Oregon Rural Practice-based Research Network (ORPRN).  Network membership includes 170 primary care clinicians and 51 primary care practices which care for over 250,000 patients and are located in 40 Oregon communities. During the past decade ORPRN has conducted over 20 projects studying elements of the medical home. These projects have used a team approach to effectively use health information technology and data to improve quality of care, including the patient experience of care.



Small Primary Care Practices Face Four Hurdles—Including A Physician-Centric Mind-Set—In Becoming Medical Homes

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