Facilitating Chronic Disease Improvement in Primary Care (Text Version)

Slide presentation from the AHRQ 2009 conference.

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


Slide 1

Slide 1. Facilitating Chronic Disease Improvement in Primary Care

Facilitating Chronic Disease Improvement in Primary Care

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

 

Slide 2

Slide 2. Why Practice Coaching  

Why Practice Coaching

Quality improvement is elusive.

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

 

Slide 3

 Slide 3. Coaches' Multiple Roles

Coaches' Multiple Roles

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

 

Slide 4

 Slide 4. What Coaches Do

What Coaches Do

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

 

Slide 5

 Slide 5. Coaching Models Vary

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

 Slide 6. An Old Idea with New Appeal?

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

 Slide 7. Presenters

Presenters

  • Darren DeWalt, MD, MPH - IPIP
  • Elizabeth Stewart, PhD - TransforMed
  • Shinyi Wu, PhD - AHRQ CCM Toolkit and Coaching
Current as of December 2009
Internet Citation: Facilitating Chronic Disease Improvement in Primary Care (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/brach/index.html