| • Practices found that the opportunity to work on meeting the Part IV QI requirement in groups was quite helpful and enhanced their QI efforts. |
| • QI coaching (facilitation) seems to be an essential and highly appreciated, previously missing element in the MOC Part IV process. |
| • Individualizing response QI intervention to each practice's priorities is also essential. |
| • Immediate engagement with practice priorities is important. |
| • Employing a Patient Experience Survey can be particularly helpful in fostering individualization, creativity, and motivation. |
| • Using a QI template or planning form helps individuals and practices to begin work on projects quickly and to keep on task and on track. |
| • Learning about QI is generated and sustained most naturally and effectively as team members work on specific, personally meaningful improvement projects. |
| • A warm welcome to systematic improvement enhances facilitation. That is, an approach that: |
| • Helps team members to identify and utilize existing QI skills and knowledge |
| • Encourages and helps team members to identify the assistance needed with the effort: |
| • Regarding the kind of improvement being attempted |
| • Regarding the technical parts of QI, such as determining outcome measures and interpreting data on a small scale |
| • Helps team members to identify next steps |
| • Provides gentle, consistent encouragement as teams encounter problems or obstacles |
| • Conveys a sense of play and creativity when approaching these problems or obstacles |
| • Helps teams mobilize and/or connect with any needed assistance, such as a particular kind of practice coaching |
| • Provides the option of online resources as well as human sources of support and learning |
| • Cited concerns of time and staff availability need to be taken seriously. |
| • QI interventions can sometimes uncover interpersonal or practice dynamics that might require additional resources. |