Resources for Practice Facilitators
The following resources support the Practice Facilitator through helping clinics implement opioid management improvements using the Six Building Blocks. The Prepare & Launch Workbook, Design & Implement Workbook, and Monitor & Sustain Workbook walk the Practice Facilitator through the steps of each implementation stage.
Overarching resources
Six Building Blocks published articles:
Primary Care Clinic Re-Design for Prescription Opioid Management: Published in the Journal of the American Board of Family Medicine in 2017.
Team-Based Clinic Redesign of Opioid Medication Management in Primary Care: Effect on Opioid Prescribing: Published in the Annals of Family Medicine in 2019.
Staff and Clinician Work-Life Perceptions after Implementing Systems-Based Improvements to Opioid Management: Published in the Journal of the American Board of Family Medicine in 2019.
Barriers and Facilitators to Implementing Changes in Opioid Prescribing in Rural Primary Care Clinics: Published in the Journal of Clinical and Translational Science in 2020.
Challenges and Approaches to Population Management of Long-Term Opioid Therapy Patients: Published in the Journal of the American Board of Family Medicine in 2021.
Preparing to be a Six Building Blocks Practice Facilitator:
Introductory materials: A list of introductory materials for beginning to learn about the Six Building Blocks and opioid management.
Description of the Practice Facilitator role: An article with a clear description of the Practice Facilitator/Coach role.
The Six Building Blocks Clinical Advisor: A resource to support a Practice Facilitator in identifying and building a relationship with a Clinical Advisor who can help with the facilitation work.
Quality improvement resources: A list of places to get quality improvement training.
Six Building Blocks Practice Facilitator Training, Learning Module 1: Understanding the Basics of Chronic Pain and the Washington State Opioid Prescribing Rules.
Six Building Blocks Practice Facilitator Training, Learning Module 2: How a Practice Facilitator Can Overcome Barriers and Support Primary Care Clinic Efforts to Improve Chronic Pain Management.
- AHRQ PF Handbook, Module 6: An AHRQ module to support Learning Module 2 on An Overview of the Practice Facilitation Process.
- 7 Key Roles of Practice Facilitators: A Healthy Hearts Northwest developed resource to support Learning Module 2.
Six Building Blocks Practice Facilitator Training, Learning Module 3: Providing Support to an Opioid QI Team in a Clinic.
- AHRQ PF Handbook, Module 14: An AHRQ module to support Learning Module 3 on Creating Quality Improvement Teams and QI Plans.
Six Building Blocks Practice Facilitator Training, Learning Module 4: Engaging Clinicians and Staff in the Process of De-implementing Opioids for Chronic Non-Cancer Pain.
Six Building Blocks Practice Facilitator Training, Learning Module 5: What is a Stakeholder Assessment and Why is it Important?
Resources to use while coaching clinics:
Practice Facilitator Multi-site Log: A tool to track progress at multiple sites.
Levers of motivation guide: Ways to motivate providers and staff.
Common obstacles clinics face & potential solutions: A detailing of common obstacles that can arise when implementing opioid management improvements and solutions other organizations have used to overcome those obstacles.
Prepare & Launch stage resources
The objectives of this stage are to orient the Opioid Improvement Team and the clinic to the Six Building Blocks, prepare for the work ahead by assessing baseline status, and launch the program. This stage includes a leadership commitment meeting, two Opioid Improvement Team meetings, and a Kickoff Event with all clinicians and staff.
Prepare & Launch Workbook: This workbook guides the Practice Facilitator through the steps of the Prepare & Launch Stage.
Pre-meeting worksheets (1&2): A list of activities to complete ahead of the Prepare & Launch meetings to assess baseline status.
Partnership Commitment Letter: An understanding of each organization’s role.
Building an opioid improvement team: Information about who should be on an opioid improvement team to lead opioid management quality improvements.
Approaches to identifying patients: Suggested approaches to suggest clinics try when first attempting to identify their patients on long-term opioid therapy.
PowerPoint Presentations: Commitment/Introduction, Kickoff: PPTs to use during meetings.
Kickoff manual: A guide to organizing the clinic-wide kickoff.
Kickoff survey: A survey to collect data before and after implementation of the Six Building Blocks program in order to set priorities for improvements and track changes over time.
Introduction to the Six Building Blocks Program: A short introduction to the Six Building Blocks Program and support options.
Introduction to the Six Building Blocks website: A one-page introduction to the resources on the Six Building Blocks Website to give clinics.
Design & Implement stage resources
The objectives of this stage are to help the Opioid Improvement Team create and execute action plans to design and implement an improved approach to opioid management. This stage includes action plan development meetings with the Opioid Improvement Team every 3 months, monthly Shared Learning Calls between Opioid Improvement Teams at participating sites, and connection to clinical education for clinicians and staff.
Design & Implement Workbook: This workbook guides the Practice Facilitator through the steps of the Design & Implement Stage.
Action Plan Guide: This document includes an introduction to using Action Plans to implement Six Building Blocks Milestones, Action Plan templates, and an Action Plan example.
Shared Learning Call Instructions: Instructions on conducting the Shared Learning Calls, including preparation, topics, tips, and a sample agenda.
Tips for achieving the Six Building Blocks milestones: This document shares tips and resources for achieving the Six Building Blocks milestones, along with solutions for common obstacles.
AHRQ Practice Facilitation Module: Mapping and Redesigning Workflow: An educational guide to using mapping to help organizations redesign workflows.
Measuring outcomes survey: A survey to give Opioid Improvement Teams at the beginning and end of coaching support to assess progress over time.