Taking Innovation To Scale In Primary Care Practices: The Functions Of Health Care Extension

• DOI: 10.1377/hlthaff.2017.1100
• Publication Date: 2018-02-05T20:52:59Z
• Authors: Sarah S. Ono; Benjamin F. Crabtree; Jennifer R. Hemler; Bijal A. Balasubr...; Samuel T. Edwards; Larry A. Green; Arthur Kaufman; Leif I. Solberg; William L. Miller; Tanisha Tate Woodson; Shannon M. Sweeney; Deborah J. Cohen
• Keywords: 03 medical and health sciences; Capacity Building; 0302 clinical medicine; Primary Health Care; Humans; Health Services Research; Cooperative Behavior; Quality Improvement; Implementation Science; Program Evaluation; 3. Good health

Health care extension is an approach to providing external support primary practices with the aim of diffusing innovation. EvidenceNOW was launched rapidly disseminate and implement evidence-based guidelines for cardiovascular preventive in setting. Seven regional grantee cooperatives provided foundational elements health extension—technological quality improvement support, practice capacity building, linking community resources—to more than two hundred each region. This article describes how varied their approaches provides early empirical evidence that a feasible potentially useful practices. With investment, may be effective platform federal state efforts create economies scale provide robust coordinated services.