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
