Green Book

Understanding the basics - Chapter 1.3

Bringing prevention and implementation together

Key points

  • Prevention is relevant to patients across all life stages and applies to the whole natural history of disease.
  • Implementing preventive activities involves recognising the challenges of implementation and using evidence-based strategies to overcome them.
  • Successful implementation of preventive care requires coordination and collaboration within the practice team and with external organisations (eg PHNs).
  • Focusing on prevention is part of a QI approach

The Green Book brings together two main themes: prevention and implementation.

Both of these sit within QI and are inherently associated with behaviour change.

Implementing preventive activities in your practice is an aspect of a broader QI approach. Implementing a QI approach to prevention usually involves several elements:

  • broadening of focus from just thinking of care of the individual to actively reflecting on the larger population18,19
  • planning for change20
  • promoting a culture of QI in the practice team21–23
  • a collaborative team approach to prevention24-30
  • a realistic framework for implementation31
  • being outcomes-focused23,32
  • acknowledging the context and complexity of general practice33–42
  • choosing implementation strategies that are evidence-based, efficient and ‘do-able’ in general practice.43,44


Preventive care is part of a broader QI approach.

Quadruple Aim

Implementing preventive care aligns with the Quadruple Aim framework for delivery of high-quality care, which has the goals of:45–47

  • improving the individual experience of care
  • improving the health of populations
  • reducing the per capita cost of healthcare
  • improving the experience of providing care.

Achieving these goals and successful implementation of prevention both require an engaged and resourced team, as well as effective and collaborative organisations.47

Patient-centred medical home

Although preventive care tends to have a population focus, it still aligns with the patient-centred medical home (Medical Home) model, which has five elements:48,49

  • comprehensive care
  • patient-centred care
  • coordinated care
  • accessible services
  • focus on quality and safety.

A successful Medical Home will provide high-quality preventive care to its patient population (refer to the RACGP’s Standards for patient-centred medical homes, Standard 4: Comprehensive preventive, acute and chronic disease care).


To help practices implement a Medical Home approach, the North Coast PHN has created a website with resources such as videos and print materials, including the Patient centred medical home: A quality improvement handbook for general practice.

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