HealthDay News — According to a report in the Journal of Cognitive Engineering and Decision Making, a scalable solution for transforming health care delivery in the primary care setting into the patient-centered medical home model has been described.

Georges Potworowski, from the University at Albany in New York, and Lee Green, MD, MPH, from the University of Alberta in Edmonton, Canada, developed a training program for practice facilitators (PFs) to help with the current transformational change in primary care medical practice.

The training program helped PFs learn the basics of cognitive task analysis (CTA) to analyze and advise practices on improving macrocognitive functions in order to help them transform. The program included preparatory reading and 14 hours of didactic sessions and guided exercises, conducted over 2 days, followed by a 3-interview progression under actual field conditions.

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The researchers found that the data collection, analysis and reporting were highly structured, and were tailored to primary care requirements and scalable. For practices in Alberta, early experience indicated a significant impact from the resulting CTA reports. CTA skills were spontaneously transferred to other areas of facilitation work.

“In this project we have demonstrated that a simplified CTA can be adapted to train professional change agents to provide low-resource primary care practices actionable insights to help them transform into patient-centered medical homes,” the authors write.


Potworowski G and Green LA. “Training Change Agents In CTA To Bring Health Care Transformation To Scale: The Case Of Primary Care Practice Facilitators”. J. Cogn. Eng. Decis. Making2016 July 15. doi: 10.1177/ 1555343416657237. [Epub ahead of print]

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