MCHbest. NPM 1: Well-Woman Visit
Strategy. Practice Facilitation for Primary Care
Approach. Develop a practice facilitation program to connect practice coaches with primary care clinics.
Source. Robert Wood Johnson Foundation's What Works for Health (WWFH) Database
Overview. Practice facilitation efforts include comprehensive approaches to help ensure care timeliness, improve continuity of care, improve preventive and chronic care, and increase practice efficiency and patient-centeredness. (CWF-Grumbach 2012). Efforts are led by practice coaches or facilitators who work with clinic staff to redesign clinical practices and improve the quality of care delivered.
Evidence. Scientifically Supported. Practices that work with coaches appear to deliver more preventive services including screenings for breast, cervical, and colorectal cancers (Wang 2018a) and provide better and more frequent primary care than practices that do not (Wang 2018a, CWF-Grumbach 2012). Read more in the WWFH database report. Read more about WWFH's evidence ratings. (*Links to citations can be accessed through the WWFH database).
Target Audience. Systems.
Outcome. Percent of women, ages 18 through 44, with a preventive medical visit in the past year.
Examples from the Field. Access descriptions of current ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Develop a practice facilitation program to connect practice coaches with primary care clinics,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).