Improving System Integration: The Art and Science of Engaging Small Community Practices in Health System Innovation

Table 1

Physician engagement strategies.

Engagement phase	Strategies
Identification of PCP project lead and physician champions	(i) A primary care lead (PCL), an exemplary practitioner in the target community and recognized leader in system improvement, was chosen for the project.; (ii) Among the eligible SCOPE PCPs, five PCPs, whose practices served the major cultural groups in the target community, were identified to act as “champions” by helping to recruit their colleagues.
Initial recruitment	(i) Eligible PCPs were invited to attend one of two in-person events to learn about SCOPE (continuing education credits (MAINPRO-M1) provided).; (ii) During the events, participants discussed and prioritized interventions that might help them manage complex medical patients in break-out groups.; (iii) Revisions were made to the preliminary SCOPE intervention based on this feedback.
Consent to participate	Office visits by the project coordinator to; (i) review the elements of the SCOPE intervention,; (ii) complete paperwork and training for the electronic results system, Patient Reports Online (PRO),; (iii) provide the contact number for SCOPE resources.
Continued involvement	(i) Regular PCP office visits by the SCOPE clinical team, PCL, and project coordinator for case studies and to inform the PCP of new SCOPE resources.; (ii) In-person get-togethers held with participating PCPs and their clinic staff, separately.; (iii) A PCP advisory group, comprised of the five physician champions and five PCP SCOPE participants.; (iv) Bimonthly newsletter coedited by two volunteer PCPs.; Based on ongoing feedback from the various strategies, modifications were made to the intervention and changes were reported to the PCPs.