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Showing posts from August, 2012

Farming ideas to health care: practice coaching

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I was at the Institute for Healthcare Improvement (IHI) a few years ago, completing their Breakthrough Series College. This program provides training on how to design and lead a quality improvement learning collaborative, the IHI term for a network of health care teams who share learning and receive coaching on improving quality in a defined area of focus.
A recent issue brief from the Commonwealth Fund looks at the effectiveness of practice coaching or practice facilitation in primary care. Essentially, this innovation involves helping practices redesign the clinical care they provide. Practice coaching has been effectively used in primary care settings to improve access to care, chronic disease care, preventive services, electronic health record use, patient-centered care, cultural competence and teamwork.
The article likens clinical practice coaching to the Agricultural  Extension Services (now the Cooperative Extension Services), created by Congress in 1914 to help farmers increase …