The goal of the Practice Coaching Program Working Group (PCPWG) is to assist community leaders interested in establishing and implementing a practice coaching program while aligning this program with the community’s broader vision for ambulatory quality improvement. Practice coaches enable more customized support for the practice than a traditional learning collaborative, allow the improvement expert to see how things work in the practice, and reduce the time away from the practice required in the traditional learning collaborative.  In a variety of contexts, practice coaches have been successful in helping practices change.  As such, the PCPWG aims to accelerate implementation of practice coaching programs and improve communities’ performance on the following AF4Q dashboard measures:

• QI-5:  Number of Alliances that actively participate in the Ambulatory Care QI Learning Network.
• QI-6: Number of ambulatory care practices that are involved in formal quality improvement activities related to the Alliances’ work in QI.

Key Resources

Practice Coaching Manual

Appendix Items
Tool 1: Quality Improvement Charters

• IPIP Change Package,Vers 1.6.1
• IPIP Change Package Presentation
• IHI's Partnering in Self-Management Support: A Toolkit for Clinicians
• New Directions in Diabetes Care: Family Medicine leading the way to better care

Tool 2: Assessing Practice Readiness for Facilitation

• Organizational readiness for Change(ORC)
• Learning Teams for Reflective Adaptation(Ultra)
• Predicting Outcomes of Organizational Change Survey

Tool 3: Characteristics of a Good Practice Coach

• MAHEC practice coach job description

Tool 4: Enrolling participating practices

• CQN Enrollment Package

Tool 5: Expectations of participating practices

• Expectations of IPIP Participation
• Role of Coaches in practice ecology

Tool 6: Practice Assessment

• IPIP Practice Assessment
• MacColl's Assessment of Chronic Illness care
• Completing and Scoring the ACIC
• Clinical Microsystems: Practice Assessment from Dartmouth
• Colorado IPIP Practice Information Form
• Pennsylvania Monthly Narrative Report Template

Tool 7: Chronic Care Model

• IPIP Methodology of Implementing Chronic Care Model

Tool 8: Using the Model for Improvement

• Key Points from Model for Improvement
• Aims and Goals Worksheet
• PDSA Planning Worksheet
• Improvement Tools Handout (Brainstorming Tips)

Tool 9: Measurement for Quality Improvement

• Creating Effective Measurement Systems
• IPIP Measurement for Improvement: Helping Practices Use their Data to Drive Improvement

Alliance Contributions

• ScPA.Pathway to Success
• ScPA Waste reduction Prioritization Tool
• ScPA PCC2 Action Item Log
• ScPA Model for Improvement
• WNY PEA Training Manual
• WNY Roles of PEA
• WNY Techniques and Guidelines for PEAs
• WNY QI Methodology
• WNY Privacy/Human Research Document
• WNY Sample Letter for Practice Buy-In
• WNY Practice Assessment & Evaluation Tool
• WNY PEA Manual Office Efficiency
• WNY PEA Training Manual Appendix
• WNY-ROI calculator (This calculator is in beta test stage. The fields have not yet been frozen and can be changed, which will impact the formulas.)
• MAINE PIN Quality Coaches Educational Sessions
• MAINE Quality Advisor Curriculum
• ME PCMH Coach Assessment Baseline 2009
• ME PCMH Practice Assessment Baseline 2009(3)
• Maine Practice Assessment of QICs
• The Effect of Facilitation in Fostering Practice (Cleveland)
• Maine MMC-PHO Redesign Service Agreement
• Maine MMC PHO Practice Coaching Agreement.

PCPWG Webinar Presentations from External Faculty

• Training Practice Facilitators: LA Net’s Lessons Learned
• IHI Primary Care Practice Coach Professional Development Program

Evaluation Results of PCPWG Webinar series #1 (2/11 – 8/11)

Result

Who You Need to Know

Improving Performance in Practice (IPIP) is a state-based, nationally led quality improvement initiative. It brings together technology, data, and proven quality improvement methods to help physicians give their patients the best possible care. The Practice Coaching Working Group includes Alliance leaders across organizations to create a team to spread practice coaching as a method for engaging practices in ambulatory quality improvement activities. Currently five Alliances: Albuquerque, Cleveland, Maine, South Central PA, and Western NY, have created a PCPWG team to drive the development and spread of the coaching program in their community.

Sheldon Horowitz, MD
Darren DeWalt, MD, MPH
Peter Margolis, MD, PhD
Jennifer Powell, MPH, MBA