Home Research Research Library The Need for Coaches in the Clinical World The Need for Coaches in the Clinical World 2021 Author(s) Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Practice Organization / Ownership Volume 19(3):194-195 Source Annals of Family Medicine Five papers in this issue could be read with hope and despair about change in clinical care, but I believe they all call for coaches—the need for facilitation in practice transformation. These studies offer important insights about facilitating behavior change, the importance of culture, respecting complexity, and the real risk that our nation’s quality payment program is mass delusion. Starting with the most promising, EvidenceNOW is an important, largescale test of change facilitation in frontline practice (Cohen et al). The integration of an evaluation plan (ESCALATES) and intense intention to learn was certainly part of its secret sauce, producing dozens of useful studies along the way. The manuscript in this issue reports on the role of practice conditions and facilitation on improving blood pressure and smoking cessation, finding that smaller and physician-owned practices are more likely to have sufficient agency and capacity for translating motivations into change and improvement than larger or system-owned practices. The authors find practice facilitation to be an important ingredient for change, but particularly in the latter clinics. This is an important lesson given the rapid shifts in practice ownership and health system consolidation. The paper adds to evidence for federal and state investments in practice facilitation and is also testament to a decade of careful, thoughtful investment by the Agency for Healthcare Research and Quality in learning how to support practice transformation. ABFM Research Read all 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes 2020 Burnout Among Family Physicians by Gender and Age Go to Burnout Among Family Physicians by Gender and Age 2025 Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence Go to Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
Author(s) Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Practice Organization / Ownership Volume 19(3):194-195 Source Annals of Family Medicine
ABFM Research Read all 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes 2020 Burnout Among Family Physicians by Gender and Age Go to Burnout Among Family Physicians by Gender and Age 2025 Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence Go to Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes
2020 Burnout Among Family Physicians by Gender and Age Go to Burnout Among Family Physicians by Gender and Age
2025 Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence Go to Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence
2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
