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Why Practice Coaching

Facilitating Chronic Disease Improvement in Primary Care Cindy Brach Center for Delivery, Organization, and Markets September 14, 2009. Why Practice Coaching. Quality improvement is elusive. Redesign is complex Change management expertise Focus Tailoring. Coaches’ Multiple Roles.

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Why Practice Coaching

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  1. Facilitating Chronic Disease Improvement in Primary CareCindy BrachCenter for Delivery, Organization, and MarketsSeptember 14, 2009

  2. Why Practice Coaching Quality improvement is elusive. • Redesign is complex • Change management expertise • Focus • Tailoring

  3. Coaches’ Multiple Roles • Facilitator • Convener • Agenda Setter and Task Master • Skill Builder • Knowledge Broker • Sounding Board • Problem Solver • Change Agent

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

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

  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?

  7. Presenters • Darren DeWalt, MD, MPH – IPIP • Elizabeth Stewart, PhD – TransforMed • Shinyi Wu, PhD – AHRQ CCM Toolkit and Coaching

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