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 Facilitating Chronic Disease Improvement in Primary CareCindy BrachCenter for Delivery, Organization, and MarketsSeptember 14, 2009 Slide 2 Why Practice CoachingQuality improvement is elusive.Redesign is complexChange management expertiseFocusTailoring Slide 3 Coaches' Multiple RolesFacilitatorConvenerAgenda Setter and Task MasterSkill BuilderKnowledge BrokerSounding BoardProblem SolverChange Agent Slide 4 What Coaches DoSet the stage InfrastructureVision and goalsMotivateConcrete Tasks QI methods trainingTool identificationIT technical supportMeasurement Slide 5 Coaching Models VaryDuration and IntensityQualifications of coachesExternal vs. internal coachesLevel of prescriptivenessMode (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 careLever to implement health care reform? Slide 7 PresentersDarren DeWalt, MD, MPH - IPIPElizabeth Stewart, PhD - TransforMedShinyi 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