Practice Facilitation Handbook

Time

• Presession preparation for learners: 80 minutes
• Session: 65 minutes

Materials Checklist

__ Computer with Internet access, projector, speakers.

__ Web-based tutorials and presentations on America’s health care safety net, produced by Kaiser Permanente. Available at: http://www.kaiseredu.org/Tutorials-and-Presentations/Americas-Health-Care-Safety-Net.aspx.

__ Redlener I, Grant R. America’s safety net and health care reform — what lies ahead? N Engl J Med 2009 Dec 3;361(23):2201-4. Available at: http://www.nejm.org/doi/full/10.1056/NEJMp0910597 (online access or one copy for each learner).

__ Hall MA. Rethinking safety-net access for the uninsured. N Engl J Med 2011 Jan 6;364:7-9. Available at: http://www.nejm.org/doi/full/10.1056/NEJMp1011502 (online access or one copy for each learner).

__ Bodenheimer T. Clinica Family Health Services (formerly Clinica Campesina). Notes from April 18, 2011, visit UCSF Center for Excellence in Primary Care (one paper or electronic copy for each learner). See Module 2 Appendix.

Objectives

Learners will:

• Identify three characteristics of an exemplar safety net practice based on the Clinica Family Health Services case study.
• Describe two current challenges facing most safety net organizations today and two potential strengths of safety net organizations.
• Describe how these might affect a practice facilitator’s work with these organizations.

Exercises and Activities To Complete Before, During, and After the Session

Presession Preparation

View (20 minutes)

1. America’s health care safety net, produced by Kaiser Permanente. Available at: http://www.kaiseredu.org/Tutorials-and-Presentations/Americas-Health-Care-Safety-Net.aspx

Read (60 minutes)

1. Module 2.
2. Redlener I, Grant R. America’s safety net and health care reform — what lies ahead? N Engl J Med 2009 Dec 3;361:2201-4. Available at: http://www.nejm.org/doi/full/10.1056/NEJMp0910597
3. Hall MA. Rethinking safety-net access for the uninsured. N Engl J Med 2011 Jan 6;364:7-9. Available at: http://www.nejm.org/doi/full/10.1056/NEJMp1011502.
4. Bodenheimer T. Clinica Family Health Services (formerly Clinica Campesina). Notes from April 18, 2011, visit UCSF Center for Excellence in Primary Care (one paper or electronic copy for each learner). See Module 2 Appendix.

During the Session

Present/review (20 minutes)

1. Module 2.

Discuss (45 minutes)

Ask the learners:

1. What are some pressures and challenges safety net organizations are facing nationally and in their community and what are the implications of these for your work?
2. What are three lessons you learned from the Clinica case study and how might these inform your work?