Table 1
Illustrative quotes supporting thematic findings on practice coaching.
| Theme 1. Development of “a very rich coaching model” |
|---|
| “I do think definitely this caliber of practice coach is critical, because the health care system is so full of really entrenched physicians and behavioral health clinicians, and so helping them to change definitely requires that they interact with people they respect, and docs only really respect docs, and they certainly don’t respect docs that are kind of coming at them that have just never been there and done that.” –Expert consultant (SP 4) |
| Theme 2: Moving from an organic to standardized coaching approach |
| “I think if there’s anything I would have thought of doing differently in a future project when it comes to practice coaches is just a little bit more of a standardization of the practice coaches.” –Practice coach (SP 7) |
| “The practice—the coach is probably the best word to describe it because your job is not to do their job. Your job is really to kind of look at what’s going on overall in terms of implementing the program, and you want to interface with the teams in a way that they feel encouraged and they feel like we have supports, but we’re not actually doing the work for them, because I think that the downside is if we did that then as soon as we left, they wouldn’t be able to do anything. So I think that’s always—that’s been a big balance to try to always think through before I say or do anything. Is this, what I’m going to say, going to be helpful for the team members to do their job?” –Practice coach (SP 9) |
| Theme 3: Coaches representing the “face of the initiative” |
| “Having the continuous practice coaching, especially early on, was crucial, because you really could get lost in the definitions of what this program is and how it should work and what the structure should kind of look like. And so we had flexibility, but I feel like without the practice coaches, things may not have been as successful, so I think the practice coaching was huge.” –Health care provider (SP 33) |
| “[Practice Coach] for me has been a great asset where she has plugged me in to all of the meetings that I need to go, all of the information that I need to read up on, what BHICCI is. She’s been very helpful. Anytime I have questions, I’ll email her and she gets back to me within 24 hours. So for me that’s been great, for her to plug me into all of these things that I need to know. So in that I feel very supported by her, where I know if I have any questions or require pretty much anything that I need, I know she will be there to help guide me.” –Health care provider (newly hired primary care supervisor) (SP 54) |