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The role of the practice facilitators in Ontario primary healthcare quality improvement

BACKGROUND: Practice facilitation is a key component of quality improvement in primary healthcare. Studies have reported the effectiveness of practice facilitation in improving quality management and care delivery. However, little has been published about practice facilitators’ training, facilitatio...

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Autores principales: Kotecha, Jyoti, Han, Han, Green, Michael, Russell, Grant, Martin, Mary I, Birtwhistle, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520205/
https://www.ncbi.nlm.nih.gov/pubmed/26224104
http://dx.doi.org/10.1186/s12875-015-0298-6
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author Kotecha, Jyoti
Han, Han
Green, Michael
Russell, Grant
Martin, Mary I
Birtwhistle, Richard
author_facet Kotecha, Jyoti
Han, Han
Green, Michael
Russell, Grant
Martin, Mary I
Birtwhistle, Richard
author_sort Kotecha, Jyoti
collection PubMed
description BACKGROUND: Practice facilitation is a key component of quality improvement in primary healthcare. Studies have reported the effectiveness of practice facilitation in improving quality management and care delivery. However, little has been published about practice facilitators’ training, facilitation activities, and their perceived role in quality improvement in primary healthcare. This study examined practice facilitators’ training and the perceptions of the practice facilitator role in a provincial primary healthcare learning collaborative quality improvement initiative in Ontario, Canada. METHOD: Descriptive and qualitative methods were used to outline the practice facilitator training as well as to look into the experiences and perceptions of practice facilitators and primary healthcare teams regarding the practice facilitation role in quality improvement. Data collection included training artifacts, activity logs, self-reflection reports, and semi-structured interviews with practice facilitators and primary healthcare participants. Reflections and interviews were analyzed to identify the role of the practice facilitators from their own experience, and from the perspective of the participants. Descriptive statistics were used to learn about categories of facilitation activities undertaken and frequency of these activities. RESULTS: Sixteen practice facilitators and seven family healthcare teams participated in the study. Practice facilitators received a two-day intensive training workshop and continued training. Their time was spent mostly working directly with participating teams, continued learning and training, communications and administration. They served as coaches, resource providers, enablers and motivators. Participating teams expressed satisfaction with the practice facilitator role, although they had hoped this position would provide onsite and hands-on support in conducting activities of quality improvement at the practice level. CONCLUSIONS: Practice facilitators played a crucial role in the implementation of quality improvement in Ontario’s learning collaborative program. The practice facilitator role is perceived to be that of a coach, enabler and motivator. This study suggests that the practice facilitator successfully supported participating teams to undertake quality improvement activities in primary healthcare settings.
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spelling pubmed-45202052015-07-31 The role of the practice facilitators in Ontario primary healthcare quality improvement Kotecha, Jyoti Han, Han Green, Michael Russell, Grant Martin, Mary I Birtwhistle, Richard BMC Fam Pract Research Article BACKGROUND: Practice facilitation is a key component of quality improvement in primary healthcare. Studies have reported the effectiveness of practice facilitation in improving quality management and care delivery. However, little has been published about practice facilitators’ training, facilitation activities, and their perceived role in quality improvement in primary healthcare. This study examined practice facilitators’ training and the perceptions of the practice facilitator role in a provincial primary healthcare learning collaborative quality improvement initiative in Ontario, Canada. METHOD: Descriptive and qualitative methods were used to outline the practice facilitator training as well as to look into the experiences and perceptions of practice facilitators and primary healthcare teams regarding the practice facilitation role in quality improvement. Data collection included training artifacts, activity logs, self-reflection reports, and semi-structured interviews with practice facilitators and primary healthcare participants. Reflections and interviews were analyzed to identify the role of the practice facilitators from their own experience, and from the perspective of the participants. Descriptive statistics were used to learn about categories of facilitation activities undertaken and frequency of these activities. RESULTS: Sixteen practice facilitators and seven family healthcare teams participated in the study. Practice facilitators received a two-day intensive training workshop and continued training. Their time was spent mostly working directly with participating teams, continued learning and training, communications and administration. They served as coaches, resource providers, enablers and motivators. Participating teams expressed satisfaction with the practice facilitator role, although they had hoped this position would provide onsite and hands-on support in conducting activities of quality improvement at the practice level. CONCLUSIONS: Practice facilitators played a crucial role in the implementation of quality improvement in Ontario’s learning collaborative program. The practice facilitator role is perceived to be that of a coach, enabler and motivator. This study suggests that the practice facilitator successfully supported participating teams to undertake quality improvement activities in primary healthcare settings. BioMed Central 2015-07-30 /pmc/articles/PMC4520205/ /pubmed/26224104 http://dx.doi.org/10.1186/s12875-015-0298-6 Text en © Kotecha et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kotecha, Jyoti
Han, Han
Green, Michael
Russell, Grant
Martin, Mary I
Birtwhistle, Richard
The role of the practice facilitators in Ontario primary healthcare quality improvement
title The role of the practice facilitators in Ontario primary healthcare quality improvement
title_full The role of the practice facilitators in Ontario primary healthcare quality improvement
title_fullStr The role of the practice facilitators in Ontario primary healthcare quality improvement
title_full_unstemmed The role of the practice facilitators in Ontario primary healthcare quality improvement
title_short The role of the practice facilitators in Ontario primary healthcare quality improvement
title_sort role of the practice facilitators in ontario primary healthcare quality improvement
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520205/
https://www.ncbi.nlm.nih.gov/pubmed/26224104
http://dx.doi.org/10.1186/s12875-015-0298-6
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