Facilitating Chronic Disease Improvement in Primary Care (Text Version)

On September 14, 2009, Cindy Brach made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (746 KB). 

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Slide 1

Facilitating Chronic Disease Improvement in Primary Care

Cindy Brach
Center for Delivery, Organization, and Markets
September 14, 2009
 

 

Slide 2

 

Why Practice Coaching

Quality improvement is elusive.

• Redesign is complex
• Change management expertise
• Focus
• Tailoring

 

Slide 3

 

Coaches' Multiple Roles

• Facilitator
• Convener
• Agenda Setter and Task Master
• Skill Builder
• Knowledge Broker
• Sounding Board
• Problem Solver
• Change Agent

 

Slide 4

 

What Coaches Do

• Set the stage
  • Infrastructure
  • Vision and goals
  • Motivate
• Concrete Tasks
  • QI methods training
  • Tool identification
  • IT technical support
  • Measurement

 

Slide 5

 

Coaching Models Vary

• Duration and Intensity
• Qualifications of coaches
• External vs. internal coaches
• Level of prescriptiveness
• Mode (in-person, telephone, Web)
• Collaborative components

 

Slide 6

 

An Old Idea with New Appeal?

• Been around at least 25 years (e.g., Fullard et al. BMJ. 1984; 289:1585)
• Emphasis on improving chronic care
• Lever to implement health care reform?

 

Slide 7

 

Presenters

• Darren DeWalt, MD, MPH - IPIP
• Elizabeth Stewart, PhD - TransforMed
• Shinyi Wu, PhD - AHRQ CCM Toolkit and Coaching