title: Development of a facilitation curriculum to support primary care transformation: the "coach medical home" curriculum.
abstract: BACKGROUND
  In an effort to improve patient care, retain high-quality primary care providers, and control costs, primary care practices across the United States are transforming to patient-centered medical homes. This is no small task. Practice facilitation, also called "coaching," is increasingly being used to support system change; however, there is limited guidance for these programs.
  
  
  OBJECTIVE
  To develop an evidence-based curriculum to help practice coaches guide broad-scale transformation efforts in primary care.
  
  
  METHODS
  We gathered evidence about effective practice transformation coaching from 25 published programs and 8 expert interviews. Given limited published information, we drew extensively on our experience as leaders and coaches in the Safety Net Medical Home Initiative. Using these data, and with input from a User Group, we identified 6 curricular topics and created learning objectives and curricular content related to these topics.
  
  
  RESULTS
  The Coach Medical Home curriculum guides coaches in the following areas: getting started with a practice; recognition and payment; sequencing changes; measurement; learning communities; and sustainability and spread.
  
  
  CONCLUSIONS
  Coach Medical Home is a publically available web-based curriculum that provides tools, resources, and guidance for practice transformation support programs, including practice facilitators and learning community organizers.
authors.affiliation: *MacColl Center for Health Care Innovation, Group Health Research Institute †Qualis Health, Seattle, WA ‡American Medical Association, Chicago, IL.
authors.forename: Karin E
authors.initials: KE
authors.lastname: Johnson
authors.forename: Katie
authors.initials: K
authors.lastname: Coleman
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Phillips
authors.forename: Brian T
authors.initials: BT
authors.lastname: Austin
authors.forename: Donna M
authors.initials: DM
authors.lastname: Daniel
authors.forename: Jessica
authors.initials: J
authors.lastname: Ridpath
authors.forename: Judith
authors.initials: J
authors.lastname: Schaefer
authors.forename: Edward H
authors.initials: EH
authors.lastname: Wagner
mesh_terms: D003479:Curriculum; D055317:Evidence-Based Practice; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D018802:Patient-Centered Care / Q000458:organization & administration*; D011216:Practice Management, Medical / Q000639:trends*; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development / Q000379:methods*; D058996:Quality Improvement; D013192:Staff Development