Practice Facilitation Handbook

Time

• Presession preparation for learners: 60 minutes
• Session: 70 minutes

Materials Checklist

__ Case example. TheOnlyOneforMiles. Go to Module 6 Appendix.

__ Access to AHRQ CAHPS® survey: http://www.ahrq.gov/cahps/surveys-guidance/cg/index.html.

__ Access to Clinical Microsystem Assessment Tool. Adapted from Assessing, Diagnosing and Treating Your Outpatient Primary Care Practice. Available at: http://clinicalmicrosystem.org/uploads/documents/outpatient-primary-care-workbook.doc

__ Access to sample assessment tools:

• Status of Care Model implementation
  • Implementation of the Care Model-Practice Systems. Assessing Chronic Illness Care (ACIC):
    http://improvingchroniccare.org/index.php?p=Survey_Instruments&s=165.
  • Patient Assessment of Care for Chronic Conditions:
    http://www.improvingchroniccare.org/index.php?p=PACIC_Survey&s=36.
• Patient satisfaction and experience:
  • CAHPS^® (Consumer Assessment of Healthcare Providers and Systems):
    http://www.ahrq.gov/cahps/surveys-guidance/cg/index.html.
• Provider and staff satisfaction:
  • Primary Care Staff Satisfaction Survey:
    http://www.improvingchroniccare.org/downloads/2.1_primary_care_staff_satisfaction_survey.doc
  • Integrating Chronic Care and Business Strategies in the Safety Net: A Toolkit for Primary Care Practices and Clinics:
    https://archive.ahrq.gov/professionals/systems/primary-care/businessstrategies/index.html.
• Organizational capacity for improvement:
  • Change Process Capability Questionnaire (CPCQ) developed by Leif Solberg. Go to Module 6 Appendix.
• Patient-centered medical home:
  • National Committee for Quality Assurance:
    http://www.ncqa.org/PublicationsProducts/RecognitionProducts/PCMHPublications.aspx
• Other resources for practice data
  • Health Resources and Services Administration (HRSA) Uniform Data System (UDS) report on safety net practices in your area: https://bphc.hrsa.gov/uds/datacenter.aspx

__ Sample data inventory form. Go to Module 6 Appendix.

Objectives

Learners will able to:

• Describe the key principles of data-driven improvement and why this is a central concept in improvement work and facilitation.
• List the different aspects of a practice that might be assessed as part of a practice improvement intervention. 
• Identify some common tools for assessing practices. 
• Access HRSA’s UDS reports for Federally Qualified Health Centers.

Exercises and Activities To Complete Before and During the Session

Presession Preparation

Read/Scan (60 minutes)

1. Read Module 6.
2. Review and explore online resources for assessing practice systems and sample assessment tools listed above.
3. Download and review a copy of a UDS report on a safety net practice in your area.

During the Session

Present (25 minutes)

1. Module 6.

Exercise (30 minutes) 

1. Complete the CPCQ for one of your practices (or the TheOnlyOne forMiles case example).
2. Complete the ACIC for one of your practices based on memory (or for TheOnlyOne forMiles case example). 

Discuss (15 minutes) 

1. What lessons did you learn from completing these surveys and also reviewing the UDS data reports? 
2. What have been your experiences and lessons learned conducting assessments with practices (or other organizations)? 
3. How might you use these tools with practices you are working with?