Michael Parchman, MD, MPH
“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
Associate Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine
206-287-2817
Twitter: @DrMParchman
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
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Health Services & Economics
Primary care organization and design; quality of primary care; implementation science
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Chronic Illness Management
Diabetes care; Chronic Care Model implementation
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Cardiovascular Health
Cardiovascular risk factors and organization of primary care delivery
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Medication Use & Patient Safety
Primary care organization and design; quality of primary care; implementation science
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Complexity Science
Using a complex adaptive systems approach to improve outcomes and quality in primary care
Recent publications
Ponce-Gonzalez IM, Jimenez N, Rodriguez E, Srivastava A, Parchman ML. Community health worker-led implementation of the Stanford Youth Diabetes Coaching Program in underserved Latinx communities. J Prim Care Community Health. 2023 jan-Dec;14:21501319231158285. doi: 10.1177/21501319231158285. PubMed
Baldwin LM, Tuzzio L, Cole AM, Holden E, Powell JA, Parchman ML. Tailoring implementation strategies for cardiovascular disease risk calculator adoption in primary care clinics. J Am Board Fam Med. 2022 Dec 23 ;35(6):jabfm.2022.210449R11143-1155. doi: 10.3122/jabfm.2022.210449R1. [Epub ahead of print 2022 Dec 2]. PubMed
Childs E, Tano CA, Mikosz CA, Parchman ML, Hersey CL, Keane N, Shoemaker-Hunt SJ, Losby JL. Factors that affect opioid quality improvement initiatives in primary care: Insights from ten health systems. Jt Comm J Qual Patient Saf. 2022 Oct 22:S1553-7250(22)00242-2. doi: 10.1016/j.jcjq.2022.10.002. [Epub ahead of print]. PubMed
Parchman ML, Perloff J, Ritter G. Can clinician champions reduce potentially inappropriate medications in people living with dementia? Study protocol for a cluster randomized trial. Implement Sci. 2022 Sep 27;17(1):63. doi: 10.1186/s13012-022-01237-0. PubMed
Nguyen AM, Cleland CM, Dickinson LM, Barry MP, Cykert S, Duffy FD, Kuzel AJ, Lindner SR, Parchman ML, Shelley DR, Walunas TL. Considerations before selecting a stepped-wedge cluster randomized trial design for a practice improvement study. Ann Fam Med. 2022 May-Jun;20(3):255-261. doi: 10.1370/afm.2810. PubMed
Parchman ML, Palazzo LG, Mogk JM, Webbon JC, Demosthenes L, Vossenkemper E, Hoke G, Moskovitz J, Dunlap L, Diaz del Carpio R. What strategies are used by clinician champions to reduce low-value care? SAGE Open Med. 2022 Jan 21;10:20503121211069855. doi: 10.1177/20503121211069855. eCollection 2022.
Tuzzio L, O'Meara ES, Holden E, Parchman ML, Ralston JD, Powell JA, Baldwin LM. Barriers to implementing cardiovascular risk calculation in primary care: alignment with the Consolidated Framework for Implementation Research. Am J Prev Med. 2021 Feb;60(2):250-257. doi: 10.1016/j.amepre.2020.07.027. Epub 2020 Dec 3. PubMed
Coleman KF, Krakauer C, Anderson M, Michaels L, Dorr DA, Fagnan LJ, Hsu C, Parchman ML. Improving quality improvement capacity and clinical performance in small primary care practices. Ann Fam Med. 2021 Nov-Dec;19(6):499-506. doi: 10.1370/afm.2733. PubMed
Ponce-Gonzalez IM, Perez K, Cheadle AD, Jade M, Iverson B, Parchman ML. A multicomponent health education campaign led by community health workers to increase influenza vaccination among migrants and refugees. J Prim Care Community Health. 2021 Jan-Dec;12:21501327211055627. doi: 10.1177/21501327211055627. PubMed
Fagnan LJ, Ramsey K, Dickinson C, Kline T, Parchman ML. Place matters: closing the gap on rural primary care quality improvement capacity - the Healthy Hearts Northwest study. J Am Board Fam Med. 2021 Jul-Aug;34(4):753-761. doi: 10.3122/jabfm.2021.04.210011. PubMed
Healthy Findings Blog
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 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
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
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
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.
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