Practice Facilitation Handbook
Module 21 Appendix
Role Visualization Exercise for Self-Management Support
Complete the chart by describing what each team member will do for each of the listed tasks for self-management support. Not all team members will be involved in each activity, nor is the list of tasks exhaustive.
|Role||PCP||Nurse||MA||Clinical Care Manager||Dietitian/PT/OT||Administrative Staff/Patient Navigator||Other|
|Introduce SMS, describe roles|
|Set visit agenda|
|Collaborate on patient goal setting|
|Provide information and skills training to patients|
|Create an Action Plan|
|Connect patients with resources in community and elsewhere in health system|
|Oversee disease registry/ proactive followup|
|Conduct previsit chart reviews|
Adapted with permission from Institute for Healthcare Improvement, Cambridge, MA.