Practice Facilitators’ and Leaders’ Perspectives on a Facilitated Quality Improvement Program

McHugh, Megan; Brown, Tiffany; Liss, David T.; Walunas, Theresa L.; Persell, Stephen D.

doi:10.1370/afm.2197

Cited by 18 publications

(63 citation statements)

References 10 publications

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“…PFs offered practices QI interventions related to the ABCS of heart health (Aspirin therapy, Blood pressure control, Cholesterol management, and Smoking screening and cessation) with the goal of improving four ABCS measures that are used in national quality incentive programmes, such as the Merit-based Incentive Payment System 8 9. Information about the H3 intervention, outcome measures and study design can be found elsewhere 10 11…”

Section: Methodsmentioning

confidence: 99%

Qualitative evaluation of a cardiovascular quality improvement programmereveals sizable data inaccuracies in small primary care practices

et al. 2019

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Section: Methodsmentioning

confidence: 99%

Qualitative evaluation of a cardiovascular quality improvement programmereveals sizable data inaccuracies in small primary care practices

et al. 2019

Self Cite

View full text Add to dashboard Cite

“…However, we recognize that there might be issues with practice facilitators such as lack of accountability or expertise. More research should examine facilitator-side barriers by conducting interviews with practices (eg, McHugh et al 12 ).…”

Section: Limitationsmentioning

confidence: 99%

“…[6][7] Practice facilitators are trained individuals who provide support to primary care practices by acting as a liaison between individual practices and research institutions, and assist practices with the restructuring often necessary to participate in research and implement quality improvement (QI). [6][7][8][9][10][11] Recent studies have shown that practice facilitators increase the likelihood of success of QI programs at the practice level, [12][13] increase provider adherence to evidence-based guidelines, 14 and improve care measures in diabetes management, cancer screening, and cardiovascular disease prevention. 7,15 Effective practice facilitation requires sustained interactions between practice facilitators and primary care practices.…”

Section: Introductionmentioning

confidence: 99%

Identifying Practice Facilitation Delays and Barriers in Primary Care Quality Improvement

Zhang

Bannon

et al. 2020

J Am Board Fam Med

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Practice facilitation is an effective approach to implementing quality improvement (QI) interventions in practice-based research networks (PBRNs). Regular facilitator-practice interactions are necessary for successful facilitation, and missed engagements may hinder the process of practice improvement. This study employs a mixed-methods approach to characterize the dynamics of practice facilitation and examine facilitation delays and barriers, as well as their association with the achievement of QI program goals in a PBRN initiative. Methods: This study presents a secondary analysis of data from 226 primary care practices that participated in the Healthy Hearts in the Heartland (H3) initiative. We performed a time series analysis to identify delays in facilitation activities, and then qualitatively analyzed practice facilitators' notes (n = 4358) to uncover facilitation barriers. Finally, we assessed the relationship between delays, barriers, and QI intervention completion. Results: While most facilitation activities occurred at regular, practice-specific tempos, nearly all practices experienced at least 1 delay. Practices with more delays had lower QI intervention completion rates. Practices with more delays were more likely to have encountered barriers such as lack of time and staff, lack of staff engagement, technical issues, and staff turnover. Discussion and Conclusion: This study is the first to quantify irregular intervals between facilitation activities and demonstrate their negative association with project completion. The analytic method can be applied to identify at-risk practices and to accelerate timely interventions in future studies. Our delay detection algorithm could inform the design of a decision support system that notifies facilitators which practices may benefit from timely attention and resources.

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“…ORIGINAL ARTICLES I n health care literature, the term "practice facilitator" describes someone who assists clinicians in practice transformation projects. [1][2][3][4][5][6][7][8] These facilitators commonly work toward improving the delivery of clinical interventions, particularly preventive services [9][10] ; facilitating research and quality improvement (QI) projects [11][12] ; and implementing health information technology.…”

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confidence: 99%

Exploring the Attributes of Exemplary Facilitators in Family Medicine Residencies: Implications for Practice Transformation

Marvel

Bene

2019

Fam Med

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Background and Objectives: Facilitation is common in the era of practice transformation. Much of the literature on practice facilitators focuses on the role of external facilitators who come into a practice to aid in practice transformation efforts. Our study sought to better understand the attributes of exemplary facilitators. Methods: We conducted 10 structured interviews in four family medicine residencies. Results: Program directors easily identified internal staff who serve informally as exemplary facilitators. Despite varying jobs, they possess seven identifiable attributes within three broad domains: task orientation, relational skills, and emotional intelligence. Conclusions: Given the increasing cost of practice transformation and the finite resources in many clinics, this study can help leaders identify current employees best suited for facilitation.

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Practice Facilitators’ and Leaders’ Perspectives on a Facilitated Quality Improvement Program

Cited by 18 publications

References 10 publications

Qualitative evaluation of a cardiovascular quality improvement programmereveals sizable data inaccuracies in small primary care practices

Qualitative evaluation of a cardiovascular quality improvement programmereveals sizable data inaccuracies in small primary care practices

Identifying Practice Facilitation Delays and Barriers in Primary Care Quality Improvement

Exploring the Attributes of Exemplary Facilitators in Family Medicine Residencies: Implications for Practice Transformation

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