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. These resources were developed for the comprehensive 9-15 month program, but can be adapted for providing tailored support as well.

Overarching resources

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.

Practice Facilitator Multi-site Log: A tool to track progress at multiple sites.

Levers of motivation guide: Ways to motivate providers and staff. Especially useful to increase the buy-in of providers and staff early in the planning process or when implementing a change.

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.

Commitment/Introduction slides: PowerPoint slides to use to introduce the Six Building Blocks.

Introduction to the Six Building Blocks Program: A short introduction to the Six Building Blocks Program and support options.

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.

Pre-meeting worksheets (1&2): A list of activities to complete ahead of the Prepare & Launch meetings to assess baseline status.

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.

Kickoff slides: PowerPoint slides to adapt for the clinic-wide kickoff.

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.

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.

Shared Learning Call Instructions: Instructions on conducting the Shared Learning Calls, including preparation, topics, tips, and a sample agenda.

Measuring outcomes survey: A survey to give Opioid Improvement Teams at the beginning and end of coaching support to assess progress over time.

Monitor & Sustain stage resources

The objectives of this stage are to review accomplishments and help the site make plans to overcome current challenges and move forward independently. This stage includes a final Opioid Improvement Team meeting and a close-out site visit.

Monitor & Sustain Workbook: This workbook guides the Practice Facilitator through the Steps of the Monitor & Sustain Stage.

Success and Sustainability meeting slides: These slides are an example outline of how to host a meeting with the Opioid Improvement Team to celebrate successes and make a sustainability plan.

Sustainability handout: This handout outlines things to consider when making a sustainability plan for opioid management improvement work.

Monitor and Sustain activities: This handout outlines potential activities a site might want to engage in when they are slowing down in implementing opioid management improvement changes in order to monitor and sustain their improvements.

Final Shared Learning Call agenda: A PowerPoint template for the final site visit