Practice facilitation (or coaching) can make the difference between success or failure in becoming a medical home

A trusted coach can help a health care practice organize their improvement effort and overcome the setbacks that can occur with large-scale change. When combined with peer-to-peer learning, such as involvement in an improvement collaborative, practice coaching can help health care systems not only solve problems but also develop their internal capacity for guiding quality improvement initiatives.

How we define practice coaching

Practice facilitators (also known as a practice coaches, QI coaches, and practice enhancement assistants) are specially trained individuals who work with primary care practices “to make meaningful changes designed to improve patients’ outcomes. [They] help physicians and quality improvement teams develop the skills they need to adapt clinical evidence to the specific circumstance of their practice environment”.1  This support may be provided on site, virtually (through phone conferences and webinars), or through a combination of onsite and virtual visits.

Our practice facilitation work spans a decade and has helped support primary care practices nationwide

We have trained facilitators ourselves, developed curricula for others to perform training, and supported health systems, primary care associations and others in adding coaches to their workforce. The most recent trainings we've conducted were with the Healthy Hearts Northwest practice facilitators working in Washington, Oregon and Idaho.

1 DeWalt D, Powell J, Mainwaring B, et al. Practice coaching program manual. Washington, DC: Aligning Forces for Quality (AF4Q), George Washington University Medical Center; 2010.

Related Resources

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.  "Engaging Primary Care Practices in Studies of Improvement: Did You Budget Enough for Practice Recruitment?", authored by Michael Parchman, et al, and published in the April 2018 Annals of Family Medicine, describes the recruitment approach, cost, and resources required to recruit and enroll 500 pr

Healthy Hearts Northwest profile

"Our goal  (with Healthy Hearts Northwest) is to build a sustainable infrastructure for ongoing improvements in the delivery of primary care in the Pacific Northwest that contributes to the Triple Aim, improves the experiences of those who provide care within the practice, and prepares primary care providers for value-based care reimbursement models."  - Principal Investigator Michael Parchman, MD, MPH

Accelerating Regulatory Progress in Multi-Institutional Research

MacColl Center Business Manager Sherry Lauf and Senior Program Manager Leah Tuzzio co-authored this manuscript highlighting three case studies in which research, regulatory, and administrative teams developed and employed innovative approaches to secure and maintain Institutional Review Board approvals, enable data sharing, and expedite sub-award issuance and execution.

Coach Medical Home

Coach Medical Home is a web-based curriculum organized into six modules that was developed through the SNMHI initiative.  This curriculum  provides coaches with practical handbooks and presentations for immediate support in their transformation efforts

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