American Academy of Family Physicians

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Expand and Sustain

Difficulty: Moderate (requires ongoing effort to make changes stick)
Outcome: A practice that champions and supports patient self-management
Time to Complete: Ongoing

Steps

Take patient self-management support practice-wide.
If there are other physicians and care teams in the practice, they likely have been watching with interest your team's progress in implementing patient self-management support (PSMS). After they see the benefits of PSMS, they may want to do it themselves. Your care team can serve as a resource for them by sharing experiences, training methods, tools, and best practices.

Brush up on these talking points before discussing PSMS with others in the practice (2-page PDF; About PDFs).

Sustain the change.
Continue to offer training on skills and new tools to keep everyone educated and motivated to provide PSMS. Some practices designate a staff member to serve as the self-management support coach— the person who provides or coordinates ongoing training to keep the team from returning to the old, directive paradigm of care.

Over time, patient self-management support will become your practice's "usual care"— and your patients will benefit.

What You Will Need

  • Decision-making authority
  • Time for continued skills training
  • Time to expand patient self-management support across the practice

Resources

Review these talking points before you discuss PSMS with others in the practice (2-page PDF; About PDFs).

Where to Go for Help

The Family Practice Management article, How Inclusive Leadership Can Help Your Practice Adapt to Change, discusses the importance of inclusive practice leadership in a time of practice redesign.
Support Patient Self-management
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