Healthy Hearts Northwest is pleased to present archived publicly available webinar-based events,  updates on our progress, and research project resources.

Our 45-minute monthly programs alternated between webinars and office hours.  An “office hour” is a webinar-based gathering that’s light on presentation with plenty of time for participant questions or topics for discussion with Healthy Hearts NW project staff.



Toolkit for Clinical Quality Metric Extraction
We’re pleased to present this guide for practice facilitators and primary care clinic staff in using health information technology to support quality improvement.

Current as of April 2019, our Toolkit for Clinical Quality Metric Extraction was created to be used as a step-by-step guide for quality improvement reporting for any Clinical Quality Measure.  Our guide includes the following topics:

  • Understanding CQM basics
  • Choosing a data-extraction approach
  • Self-assessing a practice’s ability to report
  • Validating aggregate-level data
  • Creating data visualizations
  • Getting Buy-in to Use Health Information Technology (HIT)

Download our Toolkit for Clinical Quality Metric Extraction

Pacific Family Medicine, Astoria OR

Pacific Family Medicine, Astoria OR

Pacific Family Medicine in Astoria, OR chosen as a 2018 Million Hearts Hypertension Control Champion
The Million Hearts® Hypertension Control Challenge is a competition to identify clinicians, practices, and health systems that have demonstrated exceptional achievements in working with their patients to control hypertension.

Congratulations to Healthy Hearts NW’s  Pacific Family Medicine in Astoria, OR for being named a 2018 Million Hearts® Hypertension Control Champion!

Helping primary care practices use evidence to improve blood pressure control is a key focus of our initiative, in addition to improving aspirin use, cholesterol management, and smoking cessation to prevent heart attacks and stroke among people at high risk. The providers and staff at Pacific Family Medicine are making a difference in the lives of their patients with cardiovascular risk factors, and we honor them for their hard work.

Learn about the AHRQ EvidenceNOW Hypertension Control Champions program. 


Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?
We know that primary care transformation is hard work, but the methods and costs to enroll small primary care practices in large, regional quality improvement initiatives are unknown. Published in April 2018, “Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?”, authored by Healthy Hearts NW Principal Investigator Michael Parchman, Co-Investigator LJ Fagnon, and other authors (including H2N team members), describes the recruitment approach, cost, and resources required to recruit and enroll 500 practices in the NW and midwest regions.  Both of these belong to the seven cooperatives that are participating in AHRQ’s national EvidenceNOW initiative. Read the paper by these two Healthy Hearts teams.

April 2018 Annals of Family Medicine Special Supplement
In April 2018, the Annals of Family Medicine published a special issue entitled “The Agency for Healthcare Research and Quality’s EvidenceNOW: Early Findings”. This supplement includes an overview from AHRQ, commentaries from two guest editors, and eight original research articles authored by EvidenceNOW regional cooperatives and the ESCALATES national evaluation team. Read the special supplement.

Byron Haney, MD

Byron Haney, MD


May 2017 webinar:  Shared Medical Appointments
Byron Haney, MD discusses the journey of  shared medical appointments (SMAs) in his rural WA State clinic over the past 9 years. Not only did the implementation of SMAs result in astonishing outcomes right out of the gate and increase patient satisfaction, but it’s lessened Dr. Haney’s sense of burnout and restored joy to his career. Answers to audience questions about SMAs (often referred to as group visits) include detailed info on billing and reimbursement, as well as helpful specifics for clinics considering shifting to this model.


Presented by Byron Haney, MD, Family Health Care of Ellensburg, WA. (May 17, 2017, 44 minutes.) Watch the recorded webinar or read the presentation slides.

The Quality Improvement Change Assessment (QICA)
The Quality Improvement Change Assessment (QICA) is an assessment developed by Healthy Hearts NW for use in our project to introduce team members to the high leverage changes guiding our technical assistance approach, and to assess the current capabilities of enrolled practices.

Individuals wishing to use the QICA for non-commercial, non-profit, educational, or personal use are free to do so. Commercial use of the QICA requires a written license from Kaiser Permanente. Please contact us if you would like to create a modified version of the QICA or need to request a written license. Copyright of the content, information and materials in this website is owned by Healthy Hearts Northwest, ©2013 – 2018 with support from The Agency for Healthcare Research and Quality.

Download the QICA and Download “Completing and scoring the QICA”

January & April 2017 webinars: MACRA/MIPS
In response to requests for an encore, updated presentation of this evolving subject, we’ve held two webinars on this topic. Led by Qualis Health Director of Informatics Jeff Hummell, MD, this webinar focuses on what you need to know about MACRA/MIPS and how Healthy Hearts NW can help you get where you need to be. (January 25, 2017. 45 minutes.) Watch the January recorded webinar or Read the most recent presentation slides.

Study protocol for Healthy Hearts Northwest
A description of the protocol of the Healthy Hearts Northwest study, a randomized trial designed to address the comparative effectiveness of combined strategies to build quality improvement (QI) capacity while improving risk factors for cardiovascular disease.

The study’s primary aim is to compare the effectiveness of adding shared learning opportunities, educational outreach, or both to PF for building QI capacity within smaller primary care practices, with a focus on cardiovascular disease risk-factor control. A secondary aim is to assess if PF alone improves clinic-level ABCS outcomes (“Aspirin-Blood pressure-Cholesterol-Smoking cessation”). Practice facilitation is given to all practices in our randomized trial population. Read “Study protocol for ‘Healthy Hearts Northwest’: a 2 X 2 randomized factorial trial to build quality improvement capacity in primary care.”

September 2016 Office Hour
Hosted by Qualis Health practice facilitators Shauna Banner and David Stipe, with ORPRN Health IT practice facilitators Raja Cholan and Nicolas Colin, this open-format discussion focused on EHR-related topics.  Questions include “How do I know if my practice’s EHR can generate data for any of the ABCS measures” and “What are the specific diagnosis codes that are used to define the clinical concepts in the ABCS measures such as  ‘ASCVD’ or ‘Ischemic Vascular Disease’?” (September 28, 2016, 45 minutes.)  Watch the recorded office hour.

August 2016 webinar:  Motivational Interviewing
This Healthy Hearts NW webinar provides a brief overview of the origins of and research evidence behind motivational interviewing, and touches on ways it might be applied in clinical practice.  Topics addressed include “how can I keep patients with multiple complaints focused?” and ways to use confidence levels during MI conversations.  Presenters:  Cyndi Greenlee, ARNP, Penninsula Community Health Services and Ben Balderson, PhD,  Group Health Research Institute Research Associate, Group Health Psychologist. (August 24, 2016, 47 minutes.)  Watch the recorded webinar or read the presentation slides.

July 2016 Office Hour
Project staff physicians Michael Parchman (Group Health Research Institute), Jeff Hummel (Qualis Health) and LJ Fagnan (ORPRN) hosted a discussion on clinical topics which took a deep dive into hypertension.  Questions addressed included “how do you get started on hypertension?”, “do you have evidence-based scripts for this?”, and “how do you address long-term compliance when patients feel fine”? (July 27, 2016, 45 minutes.)  Watch the recorded office hour.

June 2016 webinar:  Team-based Care
This Healthy Hearts NW webinar discusses the current shift across the country by primary care to a team-based, efficient and satisfying model of care.  It reviews the innovative LEAP team-based primary care model, and how to apply its lessons in practices working with Healthy Hearts Northwest.  Presenters: Michael Parchman, MD, MPH, Director of The MacColl Center for Health Care Innovation, and Brian Austin, its Associate Director. (June 22, 2016, 45 minutes.) Watch the recorded webinar or read the presentation slides.

May 2016 Office Hour
Denise Weiss of the Rinehart Clinic – a small federally qualified health center in Wheeler, Oregon –  shares how she and her colleagues improved their ABCS measures (Aspirin, Blood pressure, Cholesterol and Smoking cessation) by first focusing on blood pressure screening.  Hear some of the creative ways they improved the accuracy of blood pressure monitoring and follow-up. Hosted by Healthy Hearts NW project staff.  (May 25, 2016, 45 minutes.)  Watch the recorded office hour.

April 2016 webinar:  The ABCS Metrics
This Healthy Hearts NW webinar summarizes the scientific evidence behind each of the ABCS metrics and directs participants to decision-making tools and steps. It also includes a question and answer session via chat at the end of the presentation.  Presenters:  LJ Fagnan, MD, and ORPRN Practice Coaches Beth Sommers, MPH, CPHQ, and Emily Chirnside.  (April 27, 2016, 45 minutes.)  Watch the recorded webinar or read the presentation slides.

March 2016 Office Hour
The Basics of Getting, Trusting, and Using Data.  Hosted by Qualis Practice Coach Tara Kline, CPHQ, SSBB, CPHIT, CHP.  (March 23, 2016, 45 minutes.)  Watch the recorded office hour or read the presentation slides.

March 2016 webinar: Introduction
In our inaugural Healthy Hearts NW presentation, project leaders discuss the need for this work and describe the support practices will receive to improve outcomes during the initiative. Presenters include Healthy Hearts Northwest staff. (February 24, 2016, 45 minutes.)  Watch the recorded webinar or read the webinar slides.