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

Reid RJ, Parchman ML. Is there value in medical home implementation beyond the electronic health record? Ann Intern Med. 2014 Jun 3;160(11):802-3. doi: 10.7326/M14-0863.

Noel PH, Parchman ML, Palmer RF, Romero RL, Leykum LK, Lanham HJ, Zeber JE, Bowers KW. Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis. BMC Fam Pract. 2014 Mar 29;15(1):57. doi: 10.1186/1471-2296-15-57. PubMed

Lanham HJ, Sittig DF, Leykum LK, Parchman ML, Pugh JA, McDaniel RR. Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. J Am Med Inform Assoc. 2014 Jan 1;21(1):73-81. doi:10.1136/amiajnl-2012-001377. Epub 2013 May 22. PubMed

Ladden MD, Bodenheimer T, Fishman NW, Flinter M, Hsu C, Parchman M, Wagner EH. The emerging primary care workforce: preliminary observations from the primary care team: learning from Effective Ambulatory Practices Project. Acad Med. 2013 Dec;88(12):1830-4. doi: 10.1097/ACM.0000000000000027. Epub 2013 Oct 14. PubMed

Finley EP, Pugh JA, Lanham HJ, Leykum LK, Cornell J, Veerapaneni P, Parchman ML. Relationship quality and patient-assessed quality of care in VA primary care clinics: development and validation of the Work Relationships Scale. Ann Fam Med. 2013 Nov-Dec;11(6):543-9. doi: 10.1370/afm.1554. PubMed

Labreche MJ, Lee GC, Attridge RT, Mortensen EM, Koeller J, Du LC, Nyren NR, Treviño LB, Treviño SB, Peña J, Mann MW, Muñoz A, Marcos Y, Rocha G, Koretsky S, Esparza S, Finnie M, Dallas SD, Parchman ML, Frei CR. Treatment failure and costs in patients with methicillin-resistant staphylococcus aureus (MRSA) skin and soft tissue infections: a South Texas Ambulatory Research Network (STARNet) study. J Am Board Fam Med. 2013 September-October;26(5):508-17. PubMed

Parchman ML, Noel PH, Culler SD, Lanham HJ, Leykum LK, Romero RL, Palmer RF. A randomized trial of practice facilitation to improve the delivery of chronic illness care in primary care: initial and sustained effects. Implement Sci. 2013 Aug 22;8(1):93. doi: 10.1186/1748-5908-8-93. PubMed

Culler SD, Parchman ML, Lozano-Romero R, Noel PH, Lanham HJ, Leykum LK, Zeber JE. Cost estimates for operating a primary care practice facilitation program. Ann Fam Med. 2013;11(3):207-11. doi: 10.1370/afm.1496. PubMed

Tomoaia-Cotisel A, Scammon DL, Waitzman NJ, Cronholm PF, Halladay JR, Driscoll DL, Solberg LI, Hsu C, Tai-Seale M, Hiratsuka V, Shih SC, Fetters MD, Wise CG, Alexander JA, Hauser D, McMullen CK, Scholle SH, Tirodkar MA, Schmidt L, Donahue KE, Parchman ML, Stange KC. Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med. 2013 May-Jun;11 Suppl 1:S115-23. doi: 10.1370/afm.1549. PubMed

Koh HK, Brach C, Harris LM, Parchman ML. A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care. Health Aff (Millwood). 2013;32(2):357-67. doi: 10.1377/hlthaff.2012.1205. PubMed

 

Healthy Findings Blog

Dr and patient sitting

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

Rural landscape, looking out towards horizon, Fence, tree, and mountain in background

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.