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Examining the Role of Coaching in Health-system Transformations

 
Ontario Health Teams (OHTs) are being introduced to provide a new way of organizing and delivering care that is more integrated from the perspective of the patients in their local communities, and that achieves measurable improvements in key quadruple-aim metrics of improving care experiences and health outcomes at manageable per capita costs and with positive provider experiences. While this reorganization  is new in Ontario, similar efforts have been undertaken in other jurisdictions, many of which have employed “coaches” to help manage different aspects of the transition. Coaches can be deployed at an interorganizational, organizational or practice level to support identifying problems, clarifying options to address those problems and implementing solutions. To inform the design of an implementation coaching infrastructure for these OHTs, we have undertaken a rapid synthesis about the role of coaching in implementing health-system reforms.
Rapid synthesis: