Medical Home Facilitator
Sample Position Description
POSITION IDENTIFIERS:
Position title:
Medical Home Improvement Facilitator
Department/Program:
Medical Home & PCN Evolution
Salary grid:
TBD
Reporting relationship:
Report to position: Direct report to someone in employing agency
Position(s) and number of employee(s) that report to this position:
POSITION PURPOSE:
Department/Program
overview:
Insert information on employer – PCN/other
The PCN/employer is supporting its primary care teams, including
family physicians in establishing a primary care model that aligns
with the CFPC Goals for a Medical Home. Training of improvement
facilitators to support the goal of Medical Home is being offered
and supported by Toward Optimized Practice. The delivery of
primary care through a Medical Home model will see patients
“attached” to a care provider/team and their care managed
through optimized utilization of EMR to ensure care delivery is
timely and appropriate, that care is delivered by the pertinent team
member and that care coordination within and outside of the team
is timely and appropriate.
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It is expected that these improvements will lead to the
encouragement of healthy lifestyles and habits, enhanced chronic
disease management and preventive health screening, leading
ultimately to early detection of significant health issues.
Position summary:
The Improvement Facilitator will report to name position within
employing organization and will be supported in the work by a TOP
Clinical Process Advisor, and other team members through TOP.
The Improvement Facilitator plays a key role in implementing the
initiative in practices that have expressed interest in participation.
This will include, but is not limited to, assisting practices with
understanding their current access for care, their processes for
patient attachment, their model of care delivery, the use of EMR to
support the maintenance of the patient panel and to guide clinical
care improvement initiatives based on accurate EMR data.
The facilitator will assist with the identification of improvement
opportunities; developing customized work processes for improved
patient care using principles of advanced access, panel
management; mentoring and coaching clinic staff to implement
new/redesigned processes; supporting efforts to maximize the use
of the EMR/or other documentation system in identifying patients
who require care intervention, care coordination or preventive
health screening (with support from TOP); collecting standard
reports on progress and spreading the initiative to other practices
within the name employer. This individual may be required to
engage & develop relationships with primary health care teams
and family physicians to outline the initiative advantages and
processes.
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QUALIFICATIONS:
Education:
Undergraduate degree or a diploma in a related field of study,
preferably a health discipline.
Experience:
Experience, knowledge or additional training in change
management, improvement methods and QI Principles and their
practical application as related to primary care is needed (training
in these areas will be provided by TOP). Previous experience as a
coach/mentor and/or facilitator and experience working with
family physician, primary care teams and/or other primary care
practices is preferred. A combination of education, experience and
expertise may be considered.
Skills:
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Develop rapport with health providers.
Communicate effectively and constructively, orally and in
writing.
Proficiency in using Microsoft Office applications.
Understanding of primary health care delivery organizations
(including family physician practices) in Alberta.
Demonstrated ability to manage change.
Be able to work independently and as part of a team.
Work in a professional and confidential manner, displaying a
high level of integrity and respect for others.
Demonstrate a desire to continuously improve professional
skills and organization practices.
Initiative and independence to take appropriate action and
anticipate organizational needs.
Objectivity and integrity to seek and weigh opinions and
evidence – compromising where necessary on ways and means
but not on principles or goals.
Problem solving to see multiple ways of tackling a problem and
think “outside the box”.
Diplomacy and tact in dealing effectively with colleagues and
stakeholders.
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Understands and supports the value of team-based care.
Team-player – is flexible and enjoys working in a small team
environment.
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Assist teams to achieve goals through facilitation, problem
solving, decision making and conflict management skills.
o Support ongoing team meetings, reinforcing initiative
purpose, methodologies and concepts.
o Assist teams in identifying roles of each that will promote
efficiency and maximize care delivery to patients reached
through the initiative.
o Facilitate strategies that will enable teams to gather data
and share outcome and process measures.
o Promote knowledge transfer related to tests of change.
o Assist teams in identifying and overcoming obstacles
during the preparation phase, implementation, and
sustainability phases of the initiative.
o Provide group facilitation to achieve shared objectives.
o Implement plans relating to the initiative including
understanding the current clinic practices, optimizing the
use of EMRs with the practice, expanding the scope of the
team to meet initiative goals, setting up processes to
report as required, supported by the TOP Clinical Process
Advisor and other TOP team members
o Support clinic staff as the initiative is tailored to the
specific processes of each practice.
Work with name the employer to maximize the spread of the
initiative across as many practices as possible within the
timelines, using successes in one to leverage support in
another.
Submit standardized reports on progress and outcomes as
required by the initiative.
KEY RESPONSIBILITIES:
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OTHER CONDITIONS OF EMPLOYMENT:
Travel
Employer should state any travel from one site or location to
another and reimbursement.
Non – taxable parking
SIGNATURES:
Employee’s signature:
Date signed:
Immediate supervisor’s signature:
Date signed:
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