PCPCT: A Firsthand Reflection

August 4, 2016   |  Tags: Blog   |  Tags: Training
Tammy Fisher

Embarking upon the primary care transformation adventure can at times seem daunting. Enter; the Primary Care Practice Coach! With the guidance of a primary care practice coach the path to transformative care can seem less overwhelming and more exciting. Practice coaches work with clinics to address many of the barriers to improvement that clinics often face, such as unsuccessful coordination of care, access issues for patients,  leadership disengagement, process orientation and improvement and optimization of staff roles and responsibilities.

There is also evidence that collaborating with a practice coach facilitates more improvement. “A review of 23 studies involving a thousand primary care practices found that practices receiving coaching were almost three times as likely to adopt evidence-based guidelines compared with control practices”. (Baskerville et al. Ann Fam Med, 2012; 10:63-74; UCSF, 2013). Which is why Q Corp in partnership with CareOregon, is excited to begin preparing for the second 2016 Practice Coaching for Primary Care Transformation (PCPCT) training in Portland, OR from November 1 – November 4, 2016.

The first 2016 PCPCT training was held from June 28th – July 1st in Portland, OR and it was a great success! After the training concluded, Q Corp and CareOregon had the opportunity to interview one of attendees about her experience.  Tammy Fisher, Senior Director at the Center for Care Innovations in California was interested in the training because she wanted to become more grounded in, and increase her knowledge of the 10 Building Blocks of High Performing Primary Care which are the foundational elements that the PCPCT training is based on.  Here is more of our conversation with Tammy.

Q:  What was the main reason you decided to do the training?

A: The training sparked my interested because of its focus on the 10 Building Blocks but also because I wanted to integrate the building blocks in to the foundation of the programmatic work on care delivery transformation that I do. I felt like that part of the foundation was missing for me.

Q: As a more seasoned practice coaching professional, how much of the training was new for you?

A: The majority of the training was new information and most of the Building Blocks content was new. I had exposure to it but had never heard it broken down and explained which was really helpful. The only part of the training that was not new information to me was the sections about leadership engagement and data. I already have a good foundation in those areas.

Q: What was the most valuable thing you learned at the training?

A: I walked away with practical tools that I can use in my daily work. This includes interesting and cool videos, case study scenarios and exercises that I can share. The training was a great overall balance of didactic information, activities and opportunities for reflection.

Q: Was there anything specific that you felt like you couldn’t wait to race back and implement or try? 

A:  I organized a learning event where 9 organizations representing 30 unique health care centers convened to discuss and focus on team-based care.  I found the tools shared in the team-based care module helped me work with expert faculty in this area to develop key objectives and content to be presented.  I also shared the compassion video from the training with my colleagues at CCI and our Executive Director shared the video link in her regular email to our stakeholders.

Ultimately this training was great for people with all levels of practice coaching experience and I really appreciated the trainers' knowledge, sense of humor and energy level. It was well planned!

Baskerville et al. Ann Fam Med, 2012; 10:63-74

University of California, San Francisco. (2013). Practice Coaching. Retrieved at: https://cepc.ucsf.edu/practice-coaching

Tammy Fisher is the Senior Director for the Center for Care Innovations. In collaboration with the Executive Director and CCI team, she is responsible for contributing to the overall organizational strategy and operations, and directing programs to transform safety net organizations. Tammy has an extensive background in using quality improvement methods to drive changes, having led quality improvement strategy and initiatives for the San Francisco Health Plan, Pacific Business Group on Health, and Brown & Toland Medical Group. Tammy has coached more than 50 organizations – community health centers, medical groups, and Independent Physician Associations- across California.  As a Technical Advisor to the Integrated Healthcare Association’s (IHA) Value-Based Pay for Performance (VBP4P) program, she advised on measures to improve cost efficiency and clinical care. Tammy received a bachelor’s degree from the University of California, San Diego and has an M.P.H. from New York University. Outside of work, Tammy enjoys running, hiking, traveling and spending time with her two kids, husband and friends.