practice facilitation - lanetpbrn.net · improving performance in practice ... patient activation,...

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Reducing Health Disparities through Partnerships

with Clinicians and Communities

Practice

Facilitation Program Directory

2012

L.A. Net, Community Health Resource Network

2 The following is basic and general information on practice facilitation programs. Last updated July 2012

Table of Contents California ....................................................................................................................................................... 4

Small Practice eDesign project .................................................................................................................. 4

Strength in Numbers and Practice Improvement Program ...................................................................... 5

Team Up for Health Practice Coaches ...................................................................................................... 6

UCSF Dept of Family and Community Medicine, Center for Excellence in Primary Care ......................... 7

Colorado ........................................................................................................................................................ 8

HealthTeamWorks: Practice Coach Training Program .............................................................................. 8

Improving Performance in Practice .......................................................................................................... 9

Safety Net Medical Home Initiative ........................................................................................................ 10

Idaho ........................................................................................................................................................... 11


TransforMED National Demonstration Project ....................................................................................... 12

Maine .......................................................................................................................................................... 14

QI Coaching for Maine PCMH Pilot ......................................................................................................... 14

Massachusetts ............................................................................................................................................ 15

Primary Care Practice Coach Professional Development Program, Institute for Healthcare

Improvement .......................................................................................................................................... 15


Michigan...................................................................................................................................................... 18

Improving Performance in Practice ........................................................................................................ 18

Missouri ...................................................................................................................................................... 19

McMillen Healthcare Consulting............................................................................................................. 19

North Carolina ............................................................................................................................................. 20


Oklahoma .................................................................................................................................................... 21

Oklahoma Physicians Resource/ Research Network .............................................................................. 21

Ontario, Canada .......................................................................................................................................... 22

Health Quality Ontario ............................................................................................................................ 22

Oregon ........................................................................................................................................................ 23

Oregon Rural Practice-Based Research Network (ORPRN) ..................................................................... 23


Pennsylvania ............................................................................................................................................... 25



Vermont ...................................................................................................................................................... 26

Vermont Blueprint for Health: Expansion and Quality Improvement Program ..................................... 26

Washington ................................................................................................................................................. 27


Wisconsin .................................................................................................................................................... 28


If you would like to add your program to this directory, please follow the link

below to fill out a program bio generator.

http://www.surveymonkey.com/s/PracticeFacilitationProgramBioGenerator

Contact Rose Vazquez at [email protected] with any questions.

http://www.surveymonkey.com/s/PracticeFacilitationProgramBioGenerator

mailto:[email protected]


California

Small Practice eDesign project Program name: Small Practice eDesign project Founded: N/A Program director: Sophia Chang, MD, MPH Website: http://www.chcf.org/projects/2009/small-practice-edesign Administrative home: California HealthCare Foundation Types of practices served: For the initial intervention, seven primary care practices in rural Tulare county, all but one was solo, the other a two-doc practice. As of July 2011, sixty physicians in twenty practices in the region had fully implemented EHRs (including the initial seven pilot sites). Primary goals for facilitation intervention: Successful EHR adoption Desired outcomes: Achievement of meaningful use and successful spread of model to other practices in the region. Common facilitation activities/Program focus: General quality improvement; Internal capacity building for quality improvement; Implementation of EHRs; Implementation of registries and other HIT resources; Panel management; Revenue maximizing. Team-based care, communication and creating a patient-focused/centered practice, includes workflow assessment and redesign, clarifying roles/responsibilities in a practice and holding staff (and doc) accountable using systematic feedback (mostly automated) reports. Facilitation approach:

Number of FTE facilitators

Number of

practices served in past 24 months

Number practices

typically served by one

facilitator

Primary

modality of facilitation

intervention

Average length of facilitation intervention

Typical facilitation schedule

1.5 13 (beyond pilot)

3-5 (varies by practice size)

Combination of telephonic and in-person. Also

accompanied by community

learning sessions (3

hours once a month)--above estimates does

not include group meetings.

6-12 months Once a week

Program funding: California HealthCare Foundation, now sustaining w/o CHCF support SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://www.chcf.org/projects/2009/small-practice-edesign


Strength in Numbers and Practice Improvement Program Program name: Strength in Numbers and Practice Improvement Program (merging in 2013) Founded: 2009 Program director: Kelly Pfeifer, MD Website: http://www.sfhp.org/providers/quality_improvement/strengthinnumbers.aspx http://www.sfhp.org/providers/quality_improvement/practiceimprovementprogram.aspx Administrative home: San Francisco Health Plan Types of practices served: Primary Care - Community Health Centers, Public Health Centers, Hospital-based clinics Primary goals for facilitation intervention: Incremental change focused on patient-centered health home goals (improving access, patient experience, and care outcomes) Desired outcomes: improved care outcomes and HEDIS scores, improved experience of care and CAHPS scores, improved access to care and compliance with California timely access regulations Common facilitation activities/Program focus: Implementation of Chronic Care Model; Transformation to Patient Centered Medical Home; General quality improvement; Internal capacity building for quality improvement; Implementation of registries and other HIT resources; Panel management Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



1.5 24 varies Almost all in-person; some by phone or

webinar

More than 48 months

All sites (total 24) receive 8

hours of training and ad-

hoc technical assistance; only select sites will receive on-site 4-12 hours of

in-person technical

assistance

Program funding: Health Plan. Foundation funds through grants; Healthy San Francisco funding (their disease management funds) SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://www.sfhp.org/providers/quality_improvement/strengthinnumbers.aspx

http://www.sfhp.org/providers/quality_improvement/practiceimprovementprogram.aspx


Team Up for Health Practice Coaches Program name: Team Up for Health Practice Coaches Founded: One component of a grant initiative that began in 2009 Program director: Sophia Chang (CHCF Contact); Kate Meyers (Consultant Project Manager) Website: http://teamupforhealth.org Administrative home: California HealthCare Foundation Types of practices served: Primary Care - Community health centers; Large group private practices (>5 MD/NP FTEs) Primary goals for facilitation intervention: Incremental change; Small changes initially but leading to culture change around self-management support; Complete transformation Desired outcomes: Practice ability to conduct small tests of change to improve self-management support and patient- and family-centered care Common facilitation activities/Program focus: Coaches were members of the practices themselves or of the overall organization; Coaches facilitated in-person multidisciplinary Practice Improvement Team meetings on regular basis; Coaches enabled teams to identify what changes would assist patients to manage their chronic conditions or make the practice more patient- and family-centered; Coaches ensured participation of all roles/levels in practice; Program focus included Implementation of Chronic Care Model; Internal capacity building for quality improvement; Self-management support within practices -- leading to improvements in chronic care Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



1-2 per organization

(not FTE)

varies 1-2 (as part of their overall job

duties)

Almost all in-person

Varies; intention is to

hand facilitation to group members

Varies by practice but

typically every 2-4 weeks

Program funding: California HealthCare Foundation grants

http://teamupforhealth.org/


UCSF Dept of Family and Community Medicine, Center for Excellence in

Primary Care Program name: UCSF Dept of Family and Community Medicine, Center for Excellence in Primary Care Founded: 2006 Program director: Tom Bodenheimer, MD Website: http://familymedicine.medschool.ucsf.edu/cepc/index.html Administrative home: University of California, San Francisco Types of practices served: Community health centers Primary goals for facilitation intervention: Forming teams and population management Desired outcomes: Eventual transformation of the clinics Common facilitation activities/Program focus: Implementation of a team model based on teamlets; increasing continuity of care, panel management; health coaching for patients with chronic conditions Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



4 18 6 In-person 24-48 months Coaches usually go to the clinics once a week for 2-4 hours, but

sometimes when we are

working hard on a particular

innovation the coach might be

there for 20 hours in a given

week.

Program funding: Tides Foundation, Kaiser Permanente Community Benefit Program SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://familymedicine.medschool.ucsf.edu/cepc/index.html


Colorado

HealthTeamWorks: Practice Coach Training Program

Program name: HealthTeamWorks: Practice Coach Training Program Founded: 1996 Executive Vice President: Allyson Gottsman Website: http://www.healthteamworks.org/ Administrative home: HealthTeamWorks, Colorado Types of practices served: Primary Care and the medical neighborhood they serve. Large, small, urban rural, independent, hospital owned, integrated systems. Primary goals facilitation intervention: Patient-centered medical home transformation and building a cohesive medical neighborhood, implementation of health informatics and technology – EHRs, registries, data capture and quality reporting. Desired outcomes: Improved health and healthcare, increased value in healthcare spending, and improved care experience for patients and their health care team Common facilitation activities: Creating a culture of continuous quality improvement, leadership development, team –based care, patient activation, motivational interviewing, embedding evidence based guidelines and protocols, work flow redesign, performance improvement methodology, assistance with NCQA recognition, support with quality data analytics and quality reporting Facilitation approach:


Number of practices served in past 24 months

Number practices


facilitator

Primary


intervention



20 employed - 17 QI coaches; 3 HIT specialists Plus: 11 practice facilitators we are contracted to mentor for other organizations

250 New coach: 8 Experienced :

up to 20

Coach working on site with

practice ; some team meetings we participate in “virtually”

using technology

18 months – 2 years

Varies with the capacity of each

practice: 2 x a month on site

for the first 6 -9 months; then

alternating 2 mtgs a month: one on-site,

one telephonic Monthly webinars

3 Learning Sessions a year

Program funding: In Colorado – grant funding from Colorado Trust, Colorado Health Foundation and pharmaceutical

funding – Merck and Abbott. Out of state: contracts with “practice aggregators:” eg, hospital system, health plan, professional society, IPA, multi-specialty group practice

http://www.healthteamworks.org/


Improving Performance in Practice Program name: Improving Performance in Practice Founded: 2006 Program director: Website: http://www.ipipprogram.org/index.html http://www.qiteamspace.com/ipip Administrative home: ABMS Types of practices served: Primary care practices Primary goals for facilitation intervention: Quality improvement in chronic illness care and prevention, implementation of patient centered medical homes, meaningful use of EHRs. Desired outcomes: Improved health outcomes for patients served in the practices. Common facilitation activities: Visits to practice site, assisting in team meetings, teaching quality improvement, teaching about measurement, encouragement, linking to other practices doing QI work. Facilitation approach: Essentially the PARiHS approach (evidence, context, and facilitation).



Number practices typically served by one facilitator

Primary modality of facilitation intervention



~50 (estimate across states)

Unsure in all states. In NC, ~200.

8-25 In person visits combined with learning sessions

1-3 years Once monthly

Program funding: Seed funding from RWJF, currently various sources depending on the state.

http://www.ipipprogram.org/index.html

http://www.qiteamspace.com/ipip


Safety Net Medical Home Initiative Program name: Safety Net Medical Home Initiative Founded: 2009 Program director: Kathryn Phillips Website: www.safetynetmedicalhome.org Administrative home: Qualis Health Types of practices served: Primary care safety net practices including FQHCs, lookalikes, rural health centers, critical access hospitals, residency practices, homeless health centers, and faith-based clinics Primary goals for facilitation intervention: Primary care medical home transformation Desired outcomes: Improve clinical outcomes, enhance patient experience, increase work satisfaction of staff, and reduce overall health care costs Common facilitation activities: Assessment and monitoring, medical home coaching on change concepts, identifying resources to support NCQA recognition, workflow analysis and support, meeting facilitation, problem-solving and troubleshooting, project management, and data review. Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



18 65 2 to 12 Multimodal including on-

site, telephone, webinar, and

learning collaborative

4 years Variable. Typically semi-

annual site visits combined with

weekly telephone

contact

Program funding: The Commonwealth Fund, with additional support from Beth Israel Deaconess Medical Center, Blue Cross Blue Shield of Massachusetts, Foundation Blue Cross of Idaho, Foundation for Health, The Boston Foundation, Colorado Health Foundation, Jewish Healthcare Foundation, Northwest Health Foundation, and Partners HealthCare

http://www.safetynetmedicalhome.org/


Idaho



Number of


Number practices


facilitator

Primary


intervention








weekly telephone

contact




TransforMED National Demonstration Project Program name: TransforMED Founded: 2005 Program director: Terry McGeeney, MD – CEO and President Website: http://www.transformed.com/whoweare.cfm http://www.transformed.com/PDF/TransforMED-brochure-2012.pdf Administrative home: American Academy of Family Physicians Types of practices served: Primary Care Practices (Internal Medicine, Family Medicine, Peds) Primary goals for facilitation intervention: Since 2005, TransforMED has...

Guided transformation efforts in 500+ primary care practices

Impacted more than 11,560 providers and clinicians

Supported organizational change in 34 residency programs

Incorporated PCMH elements in 46 FQHCs

Touched the lives of over 25 million patients Goals

Improve clinical outcomes using evidence-based medicine and health information technologies

Prepare for and implement new reimbursement methods

Align diverse stakeholders in a Medical Neighborhood

Create a productive work environment through committed teamwork, engaged leadership and effective communication

Develop and implement processes to support panel management, care management and care coordination

Improve ambulatory access to increase patient satisfaction, decrease ER visits and reduce hospital readmissions

Enhance financial outcomes through better data analysis and disciplined financial management

Nurture a high-performance culture that encourages innovation, embraces quality and effectively manages change

Improve work/life balance and increase provider satisfaction Desired outcomes:

There is ample evidence that comprehensive primary care delivers better and more appropriate care, better health, and much lower health costs.

Lower Medicare spending (inpatient reimbursements and Part B payments)

Lower resource inputs (hospital beds, ICU beds, total physician labor, primary care labor, and medical specialist labor)

Lower utilization rates (physician visits, days in ICUs, days in the hospital, and fewer patients seeing 10 or more physicians)

Better quality of care (fewer ICU deaths and a higher composite quality score)

Primary care physician supply is consistently associated with improved health outcomes for conditions like cancer, heart disease and stroke; infant mortality, low birth weight and even life expectancy

Common facilitation activities/Program focus: Full Facilitation/Transformation is a complete commitment to becoming a Patient-Centered Medical Home. With the guidance of a Practice Enhancement Facilitator (PEF), your practice will engage every area of the TransforMED Patient-Centered Model. Your PEF will visit your practice and perform a Baseline Practice Assessment to ascertain your practice's performance in each of the Model's modules. Based on this assessment, your PEF will work closely

http://www.transformed.com/whoweare.cfm

http://www.transformed.com/PDF/TransforMED-brochure-2012.pdf


with you to custom design a program of evaluations, education, training and metrics that address your practice's specific needs. Additional information on Full Facilitation/Transformation - http://www.transformed.com/MedicalHomeFacilitation/fullTransformation.cfm Targeted Facilitation/Transformation focuses on specific areas that need work, such as Leadership Development, Teamwork or Practice Management, and sets achievable goals in shorter timeframes than Full Transformation. Targeted Transformation is a great way to solve a specific problem in your practice, leap over a stumbling block or explore your practice's potential for a more complete transformation. Additional info on Targeted at http://www.transformed.com/MedicalHomeFacilitation/targetedTransformation.cfm Virtual Facilitation/Transformation is a very flexible format that adapts to the degree of transformation your practice needs -- from Targeted to Full -- and emphasizes telephone, email and web-based communication over site visits and face-to-face interactions. This creates accessibility for adjuncts, off-site administrators and decentralized team members. It's also economical because it minimizes costs associated with travel. Additional information on virtual at http://www.transformed.com/MedicalHomeFacilitation/virtualFacilitation.cfm Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



15

500+

Dependant on

project type and client

request/needs

Onsite, virtual support, and collaborative

approach

2 years

Dependant on project type

Program funding: Dependant on project type – payers, systems, practices, etc.

http://www.transformed.com/MedicalHomeFacilitation/fullTransformation.cfm

http://www.transformed.com/MedicalHomeFacilitation/targetedTransformation.cfm

http://www.transformed.com/MedicalHomeFacilitation/virtualFacilitation.cfm


Maine

QI Coaching for Maine PCMH Pilot Program name: QI Coaching for Maine PCMH Pilot Founded: N/A Program director: Lisa Letourneau MD, MPH Website: http://www.mainequalitycounts.org Administrative home: Maine Quality Counts Types of practices served: 26 primary care practices selected for participation in Maine PCMH Pilot Primary goals for facilitation intervention: Complete transformation to PCMH model Desired outcomes: N/A Common facilitation activities/Program focus: Transformation to Patient Centered Medical Home; General quality improvement; Internal capacity building for quality improvement; Open access Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



18 26 N/A Combination of telephonic and

in-person

Initial commitment is

for Yr1 of PCMH Pilot, but Pilot is

3yrs duration, so may try to

continue coaching for

longer

Combination of phone calls,

email, site visits - est. 3-4hrs/wk

total

Program funding: Most of our coaches are employed by the PHOs and medical groups to which the participating practices belong, but we also have foundation funding (Harvard Pilgrim Healthcare Foundation) that we used to support coaching for approx 6-7 of our teams, and to support education for the coaches SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://www.mainequalitycounts.org/


Massachusetts

Primary Care Practice Coach Professional Development Program, Institute for

Healthcare Improvement Program name: Primary Care Practice Coach Professional Development Program, Institute for Healthcare Improvement Founded: N/A Program director: Cory Sevin, RN, MSN, NP Website: http://www.ihi.org/offerings/VirtualPrograms/Webinars/PrimaryCare/Pages/default.aspx Administrative home: Institute for Healthcare Improvement Types of practices served: Primary care practices-Community health centers; Public health centers; IPAs; Large group private practices (>5 MD/NP FTEs); Small group private practices (<5 MD/NP FTEs) Primary goals for facilitation intervention: The focus of this virtual, 11 month program is professional development for individuals who are in the role of change agent with the practices-practice facilitators or coaches, consultants, internal change agents. Desired outcomes: Increased effectiveness of individuals in their roles leading change with the practices.

Common facilitation activities/Program focus: Capacity building for leading change. The curriculum

focuses on:

Diagnosing practice context relative to meeting the demands of change successfully.

Understanding the human dynamics of change for organizations and individuals and types of skillful

responses.

Maintaining a results orientation while dealing with the human, technical, and organizational issues.

Distinguishing between different types and strategies of coaching interventions such as training vs.

consultation vs. coaching.

Recognizing change management issues office practices face and possible methods of intervention.

Managing self in the midst of complex emotions and relationships and developing a practice of peer

consultation. Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



N/A N/A N/A Almost all telephonic/on-

line

13-24 months Once a month; Monthly

collaborative calls,

customized feedback per

http://www.ihi.org/offerings/VirtualPrograms/Webinars/PrimaryCare/Pages/default.aspx


team each month; 1:1 org calls as needed

Program funding: Practice self-pay SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)




Number of


Number practices


facilitator

Primary


intervention








weekly telephone

contact




Michigan
















Missouri

McMillen Healthcare Consulting Program name: McMillen Healthcare Consulting Founded: I have been providing consulting in healthcare since 1996 Program director: Marly McMillen Website: www.healthstrong.org Administrative home: Kansas City, Missouri Types of practices served: Primary care practices – small, medium, and system-based practices. Primary goals for facilitation intervention: PCMH Desired outcomes: PCMH Recognition, Improved processes, Embarking on the journey of patient-centered care, team-based care. Common facilitation activities: Baseline assessment, Group meetings, reports, brainstorming solutions, Facilitation approach:







1 – 4 (as needed per project)

18 - 20

1 - 10

Face-to-face

meetings

5–8 months

Initial meetings to orient. Regular (weekly) meetings until completion

Program funding: Sometimes the work is paid for by the practice, health system, or health insurance company.

http://www.healthstrong.org/


North Carolina












Program funding:

Seed funding from RWJF, currently various sources depending on the state.




Oklahoma

Oklahoma Physicians Resource/ Research Network Program name: Oklahoma Physicians Resource/Research Network Founded: 1999 Program director: Cheryl Aspy, PhD Website: http://www.okprn.org/ Administrative home: Dept. of Family and Preventive Medicine University of Oklahoma HSC Types of practices served: Small group private practices (<5 MD/NP FTEs); Solo practitioners Primary goals for facilitation intervention: Incremental change Desired outcomes: N/A Common facilitation activities/Program focus: Implementation of Chronic Care Model; General quality improvement; Internal capacity building for quality improvement; Implementation of registries and other IT resources; Delivery of preventive services Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



4 60 8 Almost all in-person

6 months Once a week

Program funding: Federal Support; State Support; Health Plan SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://www.okprn.org/


Ontario, Canada

Health Quality Ontario Program name: Health Quality Ontario Founded: 2011 Program director: Cheryl Chapman Website: http://www.hqontario.ca Administrative home: Health Quality Ontario Types of practices served: Primary healthcare practices – all delivery models in Ontario including: Community Health Centres; Family Health Teams; Family Health Organizations; Family Health Networks; Rural-Northern Physician Group Agreement (RNPGA); Family Health Groups; Nurse-Practitioner-Led Clinics; Aboriginal Health Access Centres; and Fee for Service Practices Primary goals for facilitation intervention: Incremental change; Complete transformation Desired outcomes: Improved Access to and Efficiency of Care; Improved Chronic Disease Management Common facilitation activities/Program focus: Quality improvement; Internal capacity building for quality improvement; Panel management; Open access Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



14.5 Approx 170 8-10 Combination of virtual &in-

person; Online, social

networking website support

Learning Community Waves vary

from 6-9 months

As determined by the teams receiving the support (both

virtual and face to face)

Program funding: Provincially-funded by the Ministry of Health and Long-Term Care in Ontario, Canada SOURCE: Practice Coaching in Primary Care – Survey of Programs (2010, Survey Monkey)

http://www.hqontario.ca/


Oregon

Oregon Rural Practice-Based Research Network (ORPRN) Program name: Oregon Rural Practice-Based Research Network (ORPRN) Founded: 2002 Program director: Lyle J. Fagnan, MD Website: http://www.ohsu.edu/orprn/ Administrative home: Community & Practice Research Program; Oregon Clinical & Translational Research Institute (OCTRI); Oregon Health & Science University (OHSU) Types of practices served: Private practices, rural health centers, and FQHCs – all in rural areas of Oregon. ORPRN also supports community-based participatory research (CBPR) with rural health coalitions. Primary goals for facilitation intervention: Practice transformation into medical homes, implementing new systems of care, improved use of information technology, and addressing social determinants of health. Desired outcomes: Improved systems of care in clinic and community settings. Helping relationships. Common facilitation activities: Site visits, project team meetings, quality improvement assessments, practice assessments, member survey, research specific activities. Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



4 46 10-20 Onsite support supplemented

by distance interactions

(email, phone, and web-based)

Varies by project (may range from 1 month to 3

years). Relationships

with members are ongoing.

Varies based on intensity of

intervention (range: daily for

2 weeks to weekly/bi-

monthly visits for 3 months)

Program funding: ORPRN has received support for over 57 funded projects from federal, state, and foundations, such as the Agency for Health Research Quality, Foundation for Informed Medical Decision Making, Northwest Health Foundation, American Academy of Family Physicians Foundation, the Commonwealth Fund, State of Oregon, and the Oregon Clinical and Translational Research Institute (OCTRI).

http://www.ohsu.edu/orprn/




Number of


Number practices


facilitator

Primary


intervention








weekly telephone

contact




Pennsylvania
















Vermont

Vermont Blueprint for Health: Expansion and Quality Improvement

Program

Program name: Vermont Blueprint for Health: Expansion and Quality Improvement Program (EQuIP) Founded: 2009 Program director: Jenney Samuelson Website: http://hcr.vermont.gov/blueprint Administrative home: Department of Vermont Health Access Types of practices served: Primary care practices, including FQHCs, rural health centers, hospitals, group practices, and residency practices. Will expand to serve practices that provide medication assisted treatment for substance abuse later this year. Primary goals for facilitation intervention: Continuous quality improvement Desired outcomes: Improved health system utilization, reduced costs, increased patient and provider satisfaction and improved health outcomes. Common facilitation activities: NCQA recognition preparation, data collection and interpretation, designing rapid cycle tests of change, re-engineering workflow, effective use of an EMR and registry, training, cross-practice collaboration. Facilitation approach:


Number of


Number practices


facilitator

Primary


intervention



9.5 105 8 to 12 On-site Variable Bi-weekly meetings of 1 to

2 hours

Program funding: Global Commitment Waiver (Medicaid 1115 waiver)

http://hcr.vermont.gov/blueprint


Washington
















Wisconsin















practice facilitation - lanetpbrn.net · improving performance in practice ... patient activation,...

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