Michael Parchman, MD, MPH

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“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

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

 

Recent publications

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

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

 

Healthy Findings Blog

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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

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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

Value Champions several Clinicians showing collaboration

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

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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

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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.