title: Physician Engagement Strategies in Care Coordination: Findings from the Centers for Medicare & Medicaid Services' Health Care Innovation Awards Program.
abstract: To identify roles physicians assumed as part of new health care delivery models and related strategies that facilitated physician engagement across 21 Health Care Innovation Award (HCIA) programs.
  
  
  
  Site-level in-depth interviews, conducted from 2014 to 2015 (N = 672) with program staff, leadership, and partners (including 95 physicians) and direct observations.
  
  
  
  NORC conducted a mixed-method evaluation, including two rounds of qualitative data collected via site visits and telephone interviews.
  
  
  
  We used qualitative thematic coding for data from 21 programs actively engaging physicians as part of HCIA interventions.
  
  
  
  Establishing physician champions and ensuring an innovation-values fit between physicians and programs, including the strategies programs employed, facilitated engagement. Among engagement practices identified in this study, tailoring team working styles to meet physician preferences and conducting physician outreach and education were the most common successful approaches.
  
  
  
  We describe engagement strategies derived from a diverse range of programs. Successful programs considered physicians' values and engagement as components of process and policy, rather than viewing them as exogenous factors affecting innovation adoption. These types of approaches enabled programs to accelerate acceptance of innovations within organizations.
authors.affiliation: NORC at the University of Chicago, Chicago, IL.
authors.forename: Megan
authors.initials: M
authors.lastname: Skillman
authors.affiliation: Center for Medicare & Medicaid Innovation, Baltimore, MD.
authors.forename: Caitlin
authors.initials: C
authors.lastname: Cross-Barnet
authors.affiliation: NORC at the University of Chicago, Bethesda, MD.
authors.forename: Rachel Friedman
authors.initials: RF
authors.lastname: Singer
authors.affiliation: NORC at the University of Chicago, Bethesda, MD.
authors.forename: Sarah
authors.initials: S
authors.lastname: Ruiz
authors.affiliation: NORC at the University of Chicago, Bethesda, MD.
authors.forename: Christina
authors.initials: C
authors.lastname: Rotondo
authors.affiliation: NORC at the University of Chicago, Chicago, IL.
authors.forename: Roy
authors.initials: R
authors.lastname: Ahn
authors.affiliation: NORC at the University of Chicago, Bethesda, MD.
authors.forename: Lynne Page
authors.initials: LP
authors.lastname: Snyder
authors.affiliation: Center for Medicare & Medicaid Innovation, Baltimore, MD.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Colligan
authors.affiliation: Center for Medicare & Medicaid Innovation, Baltimore, MD.
authors.forename: Katherine
authors.initials: K
authors.lastname: Giuriceo
authors.affiliation: NORC at the University of Chicago, Bethesda, MD.
authors.forename: Adil
authors.initials: A
authors.lastname: Moiduddin
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D006801:Humans; D007407:Interviews as Topic; D009936:Organizational Innovation; D010819:Physician's Role; D010820:Physicians / Q000458:organization & administration*; D014481:United States
keywords: Physician engagement; care coordination; health care innovation