Specifications include, but are not limited to: Generally, Facilitators are expected to meet weekly or bi-weekly with each multi-disciplinary practice/integrated care/program team. Work will be tailored to help each practice succeed in: • Implementing and managing quality improvement initiatives, including National Committee on Quality Assurance- Patient Centered Medical Home (NCQA-PCMH) recognition and community quality projects.; • Using Blueprint, practice, Health Service Area (HSA), and Accountable Care Organization (ACO) data to improve care; • Effective use of information technology (IT) systems, such as registries and portals, to improve patient care; The QI Facilitator shall meet with each practice every two weeks or at a frequency negotiated with the practice and approved by the State. The Contractor shall ensure that QI facilitation work includes: 1. Assisting practices with forming a functional multi-disciplinary quality improvement team.; 2. Ensuring leadership involvement and communication; 3. Encouraging/fostering practice ownership and support for Continuous Quality Improvement to improve patient-centered care.