Thank you for visiting Improving Chronic Illness Care!

Our funding for updating this website ended in 2011, but the resources we developed are still helping clinical practices from around the world to transform the care they provide to better serve patients with chronic illness. Please visit our home page to learn more—or check out our more recent tools and resources at:


Practice Coaching

"High quality primary care is essential to making American healthcare more responsive to the needs of healthy individuals and those with ongoing health problems."  - Ed Wagner


A growing body of evidence shows that practice facilitation, or coaching, can mean the difference between a primary care team’s success or failure in becoming a patient-centered medical home.  A trusted coach can help a practice organize their improvement effort and overcome the setbacks that can occur with large-scale change.  Practice coaching works best within the context of peer-to-peer learning.

During the past decade, the ICIC/MacColl Center team's practice facilitation work has focused on training facilitators, the development of learning materials, and supporting systems in adding coaches to their workforce in efforts to pursue the principles of the patient-centered medical home.