title: Physician and Staff Acceptance of Care Managers in Primary Care Offices.
abstract: BACKGROUND
  Embedded care managers are increasingly implemented as part of the care team within primary care practices, yet previous studies have indicated variability in acceptance by physicians and staff. This study assesses the acceptability of care managers among staff and physicians within the Michigan Primary Care Transformation (MiPCT) demonstration.
  
  
  METHODS
  Care manager acceptance was measured using a web-based survey distributed to practices participating in the MiPCT demonstration.
  
  
  RESULTS
  Both physicians and staff reported high levels of care manager acceptance. Longer length of care manager employment at the practice, higher care manager FTE dedicated to care management, and care manager employed by practice were all significantly associated with care manager acceptance.
  
  
  CONCLUSIONS
  The MiPCT demonstration found high care manager acceptance across all care team members. The high level of acceptance may be due to the structures and processes developed by MiPCT to support implementation of care managers and the length of the intervention period.
  
  
  CONCLUSIONS
  The MiPCT demonstration confirms that following three years of implementation, embedded care managers are acceptable to both physicians and staff within primary care practices. Importantly, embeddedness, or the amount of time care managers are located within practices, is associated with increased acceptance.
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF). jskratek@med.umich.edu.
authors.forename: Jean M
authors.initials: JM
authors.lastname: Malouin
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Malouin
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Issidoros
authors.initials: I
authors.lastname: Sarinopoulos
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Marie
authors.initials: M
authors.lastname: Beisel
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Diane
authors.initials: D
authors.lastname: Bechel-Marriot
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Amanda
authors.initials: A
authors.lastname: First
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Ginger M
authors.initials: GM
authors.lastname: Gamble
authors.affiliation: From the Department of Family Medicine, University of Michigan, Ann Arbor (JMM); the Department of Family and Community Medicine, Michigan State University, East Lansing (RAM); the Center for Data Management and Translational Research, Michigan Public Health Institute, Okemos (IS, GMG, CT); the Michigan Care Management Resource Center, University of Michigan, Ann Arbor (MB); and MiPCT, University of Michigan, Ann Arbor (DB-M, AF).
authors.forename: Clare
authors.initials: C
authors.lastname: Tanner
mesh_terms: D000288:Administrative Personnel; D000328:Adult; D001519:Behavior; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008824:Michigan; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration*; D010820:Physicians / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Michigan; Patient Care Management; Patient Care Team; Primary Health Care; Surveys and Questionnaires