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Physician practice facilitation ensures key medical care reaches children
Date:5/5/2014

tell the provider what to do, but rather collaborates with the entire practice to help its members devise their own solutions.

"Practice-tailored facilitation is gaining traction as a viable practice enhancement for improving child health care delivery," Meropol said. "A practice facilitator, or practice 'coach', collaborates with practices to develop and implement their own changes from within."

The study intentionally delayed intervention for 14 of the practices by four months. Those medical groups served as the "control" sample so researchers could assess more accurately just how much of an impact the coach's presence could make. The answer? Enormous. The practices that received interventions from the outset of the study, for example, improved their ability to meet obesity screening and counseling standards by a factor more than six times greater than those in the control group. And the application of fluoride varnish? More than 20 times greater. The margin for lead screening treatment was closer, but the early intervention group still excelled over those practices that had not yet received the benefit of a coach.

"We had to make the comparison between the active intervention and the non-intervention groups for those first four months," Meropol said. "We needed to show it was the intervention itself that was making the difference rather than something else going on at the same time. Still, we deliberately structured the study so that all practices would receive the benefits of the intervention no later than four months into the trial."

Once practices in the control group actually got to work with the trained coaches, their data improved dramatically as well. After receiving an equivalent amount of practice-tailored facilitation, the delayed-intervention practices reached quality standards at a rate of 87.1 percent in obesity screening, 90.1 percent in lead screening and 89.9 percent in fluoride varnish. Both early and later in
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Contact: Jeannette Spalding
jxs1243@case.edu
216-368-3004
Case Western Reserve University
Source:Eurekalert

Page: 1 2 3

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