Primary Care Improvement Network (PCIN) at the HMS Center for Primary Care

The Primary Care Improvement Network (PCIN) is a membership-based network focused on supporting practice transformation, quality improvement, leadership skills, and the dissemination and spread of best practices.

The goals of the PCIN are to:

  • Strengthen the primary care community in greater Boston and beyond;
  • Develop high-performing interdisciplinary teams;
  • Drive improvement towards shared aims;
  • Create opportunities for shared learning around new and ongoing challenges;
  • Build and support primary care leadership at all levels;
  • Support member dissemination and the publication of results; and
  • Engage residents and trainees in improvement work.

The PCIN uses the Safety Net Medical Home Initiative’s change concepts for practice transformation as the foundational framework. In addition, PCIN member organizations select one (or more) priority topics annually. The focus areas for 2019-2020 will be, (1) strategies for effective implementation of telemedicine, and (2) effectively addressing health-related social needs.

What is the Primary Care Improvement Network?

The PCIN programming runs from September to June each year, and health systems have the option of signing up at one of three levels: Partner, Improver, or Transformer. Improver and Transformer-level health systems identify specific practice teams to focus on an improvement project and use the support of the PCIN to work on it over the year. The PCIN uses a modified version of the IHI’s Breakthrough Series Collaborative to facilitate engagement and improvement, which includes three in-person learning sessions followed by ‘action periods’ within the practices which are supported by monthly webinars, optional practice coaching and team improvement work. Partner-level health systems participate only in the end of Learning Session/Networking event and benefit from learning from the successes and challenges of peers.

PCIN

Current health system members in the PCIN include: Boston Children’s Hospital, Beth Israel Deaconess Medical Center, Newton Wellesley Hospital, Cambridge Health Alliance, Mount Auburn Hospital, Atrius Health, Tufts Medical Center, and Boston Medical Center.

Leadership Academy

Members of the PCIN also have the option of enrolling practice staff and clinicians in the 10-month Leadership Academy. This longitudinal program includes a combination of in-person and web-based sessions taught by local and national subject-matter experts. Topics covered this past year included: building engaged teams, developing & motivating others, difficult conversations, and leading a diverse workforce.

In response to participant demand, this year we will also offer a Leadership Academy 2.0. This course will provide more in-depth content for those looking to take their leadership to the next level. The curriculum will focus on leading change and participants will have the ability to co-design part of the curriculum based on the cohort’s identified leadership needs. Participation in the Leadership Academy or similar equivalent is required for participation in the Leadership Academy 2.0.

How can our health system join the Primary Care Improvement Network?

The PCIN offers three levels for membership as outlined below:

Partner Level: $7,500

  • Attendance for up to 15 people at the full-day Learning Session/Networking Meeting (June 2020).
  • Unlimited access to monthly content webinars.
  • Access to PCIN listserv for questions and discussion.
  • Option to enroll in the Leadership Academy or Leadership Academy 2.0 for $2,000 per person.

Improver Level: $15,000

  • Participation for up to three practice improvement teams (each with a designated Day-to-Day Leader and interdisciplinary team members from the practice)
  • Attendance for up to 20 people at three in-person learning sessions.
  • Advisory Board participation for executive leaders of participating institutions.
  • Unlimited access to monthly content webinars.
  • Access to PCIN listserv for questions and discussion.
  • Option to enroll in the Leadership Academy or Leadership Academy 2.0 for $2,000 per person.

Transformer Level: $25,000

  • Three spots in the 10-month Leadership Academy for multi-disciplinary leaders, and two spots in the new Leadership Academy 2.0 focused on Leading Change in Organizations.
  • Participation for up to three practice improvement teams (each with a designated Day-to-Day Leader and interdisciplinary team members from the practice)
  • Attendance for up to 20 people at three in-person learning sessions.
  • Advisory Board participation for executive leaders of participating institutions.
  • Unlimited access to monthly content webinars.
  • Access to PCIN listserv for questions and discussion.
  • Up to four hours of dissemination support for presentations and papers.

To sign up or to ask additional questions about the PCIN, please contact Lindsay Hunt, Director of Systems Transformation at Lindsay_hunt@hms.harvard.edu or (617) 432-2352.

PCIN Healthcare Associates Case Study: 
Healthcare Associates (HCA) is a primary care group practice at Beth Israel Deaconess Medical Center that provides care to over 40,000 patients on the hospital campus. HCA has been involved with PCIN since its debut in 2016 and the PCIN predecessor, the Academic Innovation Collaborative, from 2012-2016. The recent introduction of several team members into leadership roles at HCA added new energy to the leadership team and to the development of HCA’s newest initiative, The Arrive-Register-Room-Care Initiative.

Read the PCIN HCA case study