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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Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. Launched in May 2003, Annals is sponsored by seven family medical organizations, including the American Academy of Family Physicians, the American Board of Family Medicine, the Society of Teachers of Family Medicine, the Association of Departments of Family Medicine, the Association of Family Medicine Residency Directors, the North American Primary Care Research Group, and The College of Family Physicians of Canada. Annals is published six times each year and contains original research from the clinical, biomedical, social and health services areas, as well as contributions on methodology and theory, selected reviews, essays and editorials. Complete editorial content and interactive discussion groups for each published article can be accessed free of charge on the journal’s website, www.AnnFamMed.org.
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