• Allison M Cole, Gina A Keppel, Laura-Mae Baldwin, Erika Holden, and Michael Parchman.
• From the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP). acole2@uw.edu.
• J Am Board Fam Med. 2024 Aug 14; 37 (3): 444454444-454.

BackgroundPractice facilitation supports practice change in clinical settings. Despite its widespread use little is known about how facilitators enable change.ObjectiveThis study identifies which implementation strategies practice facilitators used and the frequency of their use in a study to improve the quality of cardiovascular care in primary care.DesignCross-sectional analysis of data collected by practice facilitators in the Healthy Hearts Northwest (H2N) study.ParticipantsNotes collected by facilitators in the H2N study.ApproachWe coded these field notes for a purposeful sample of 44 practices to identify Expert Recommendations for Implementation Change (ERIC) strategies used with each practice and calculated the proportion of practices where each implementation strategy was coded at least once. Strategies were categorized as foundational (used in 80% to 100% of practices), moderately used (20%-<80% of practices), rarely used (1-[Formula: see text]% of practices), or absent (0%).Key ResultsWe identified 26 strategies used by facilitators. Five strategies were foundational: Develop and/or implement tools for quality monitoring, Assess barriers that may impede implementation, Assess for readiness or progress, Develop and support teams, and Conduct educational meetings.ConclusionsCommonly used strategies can help guide development of the core components of practice facilitation strategies.© Copyright 2024 by the American Board of Family Medicine.

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