1. HEALTH COACHING WORKFLOW
Will the patient benefit from health coaching? Is the patient open to health coaching?
Physician and coach huddle to cover the physician’s goals for the patient and review the patient’s medications
Health coach explains what coaching is to the patient
Patient with diabetes meets with physician
INITIAL COACHING SESSION
Warm handoff
Yes
Coach uses the physician’s notes and after-visit summary to close the loop on that day’s care plan No
Does patient agree to future session with health coach?
Next appointment with physician is scheduled No No
Yes
FOLLOW-UP COACHING SESSION(S)
Does the patient understand? Is the patient motivated?
Coach uses ask-tell-ask and teach back to engage the patient in creating an action plan
Coach schedules coaching session several weeks after the initial encounter
Coach may do medication reconciliation and adherence counseling
Yes
Coach engages the patient in discussing a behavior action plan. Patient and coach determine future phone calls and coaching sessions.
Is further coaching needed?
Yes No
Patient has completed health coaching program
Terminal point
Process
Decision
Preparation
Document