More effective facilitators can support primary care organizational change

American Academy of Family Physicians

Researchers analyzed data from a large-scale quality improvement initiative to determine which strategies for organizational change had the most impact on clinical outcomes. One hundred and sixty-two facilitators were assigned to 1,630 small- to medium-sized primary care practices across 12 states to support the implementation of operational improvements aimed at improving cardiovascular disease outcomes.

High-performing facilitators — defined as facilitators who had 75% or more of their assigned practices show improvement across measured health outcomes — were found to:

  • Adapt recommended processes to local clinics
  • Address organizational resistance
  • Encourage critical thinking
  • Promote accountability
  • Effectively communicate their role

Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study

Shannon M. Sweeney, PhD, MPH, et al

Department of Family Medicine, Oregon Health & Science University, Portland

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