Practice Facilitation Handbook

Module 6 Trainer’s Guide: Assessing Practice Systems

Table of Contents


  • Presession preparation for learners: 60 minutes
  • Session: 70 minutes

Materials Checklist

__ Case example. TheOnlyOneforMiles. Go to Module 6 Appendix.

__ Access to AHRQ CAHPS® survey:

__ Access to Clinical Microsystem Assessment Tool. Adapted from Assessing, Diagnosing and Treating Your Outpatient Primary Care Practice. Available at:

__ Access to sample assessment tools:

__ Sample data inventory form. Go to Module 6 Appendix.


Learners will able to:

  • Describe the key principles of data-driven improvement and why this is a central concept in improvement work and facilitation.
  • List the different aspects of a practice that might be assessed as part of a practice improvement intervention. 
  • Identify some common tools for assessing practices. 
  • Access HRSA’s UDS reports for Federally Qualified Health Centers.

Exercises and Activities To Complete Before and During the Session

Presession Preparation

Read/Scan (60 minutes)

  1. Read Module 6.
  2. Review and explore online resources for assessing practice systems and sample assessment tools listed above.
  3. Download and review a copy of a UDS report on a safety net practice in your area.

During the Session

Present (25 minutes)

  1. Module 6.

Exercise (30 minutes) 

  1. Complete the CPCQ for one of your practices (or the TheOnlyOne forMiles case example).
  2. Complete the ACIC for one of your practices based on memory (or for TheOnlyOne forMiles case example). 

Discuss (15 minutes) 

  1. What lessons did you learn from completing these surveys and also reviewing the UDS data reports? 
  2. What have been your experiences and lessons learned conducting assessments with practices (or other organizations)? 
  3. How might you use these tools with practices you are working with?
Page last reviewed December 2018
Page originally created May 2013
Internet Citation: Module 6 Trainer’s Guide: Assessing Practice Systems. Content last reviewed December 2018. Agency for Healthcare Research and Quality, Rockville, MD.
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