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How Practice Facilitation Strategies Differ by Practice Context.

Ann M Nguyen1, Allison Cuthel2, Deborah K Padgett3

  • 1NYU Langone Health, Department of Population Health, New York, NY, USA. Ann.Nguyen@nyulangone.org.

Journal of General Internal Medicine
|October 23, 2019
PubMed
Summary
This summary is machine-generated.

Practice facilitators use similar strategies across diverse primary care settings, tailoring their approach to context. Key strategies include flexibility, relationship-building, IT expertise, and capacity-building for sustainable practice improvement.

Keywords:
implementationpractice facilitationqualitative

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Primary Care Practice Transformation

Background:

  • Practice facilitation is an implementation strategy to enhance healthcare delivery and outcomes.
  • Limited research exists on tailoring facilitation strategies to diverse primary care contexts.

Purpose of the Study:

  • To identify contextual factors influencing facilitators' strategies.
  • To understand how facilitation strategies are adapted to specific practice settings.

Main Methods:

  • Qualitative study using semi-structured interviews with 15 facilitators.
  • Analysis involved inductive and deductive coding approaches.
  • Study conducted within the HealthyHearts New York City initiative.

Main Results:

  • Contextual factors (policy, patient needs, site characteristics, leadership, priorities) were similar across settings.
  • Four core facilitation strategies were identified: flexibility, relationship-building, IT value, and capacity-building.
  • Facilitators employed the same strategies, adapted to their specific small independent practices (SIPs) or Federally Qualified Health Centers (FQHCs) contexts.

Conclusions:

  • Despite differences, contextual factors and facilitation strategies showed similarity between SIPs and FQHCs.
  • Facilitators require multidisciplinary skills for sustainable practice improvement in varied healthcare settings.