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Using Facilitative Coaching to Support Patient Aligned Care Teams.

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  • 1is the assistant chief of staff and is the chief of clinic operations, both in the Ambulatory Care Department; is the service chief in the Office of Patient-Centered Care; and is the deputy chief of staff in the Office of the Chief of Staff, all at the Richard L. Roudebush VAMC in Indianapolis, Indiana.

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Summary
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Staff at Richard L. Roudebush VAMC successfully implemented primary care medical home theory into practice. This study highlights successful translation of healthcare models despite implementation challenges.

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Area of Science:

  • Healthcare Management
  • Primary Care Innovation
  • Implementation Science

Background:

  • The medical home model aims to improve primary care.
  • Implementing new healthcare models presents significant challenges.
  • Facilitative coaching is a strategy to support implementation.

Purpose of the Study:

  • To describe the process of translating primary care medical home theory into practice.
  • To identify facilitators and barriers in implementing the medical home model.
  • To evaluate the success of implementation efforts at a specific Veterans Affairs facility.

Main Methods:

  • Qualitative analysis of implementation processes.
  • Case study of Richard L. Roudebush VAMC.
  • Utilized facilitative coaching strategies.

Main Results:

  • The Richard L. Roudebush VAMC staff successfully translated primary care medical home theory into operational processes.
  • Despite challenges, implementation was achieved through dedicated efforts.
  • Facilitative coaching played a role in overcoming hurdles.

Conclusions:

  • Translating complex healthcare models into practice is feasible.
  • Successful implementation requires strategic approaches and overcoming challenges.
  • The VAMC experience offers insights for other healthcare organizations.