Relational coordination theory has inspired numerous change methodologies, supported by ongoing research. Two of these methodologies are described below, along with supporting tools and supporting research. The Relational Model of Change and the Relational Facilitation Guidebook can be used for research, consulting, coaching and teaching.
The Relational Model of Change
The Relational Coordination Playbook is a set of resources based on the Relational Model of Change by Jody Hoffer Gittell, Amy Edmondson and Ed Schein, and the Six Stages of Change inspired by Tony Suchman. The Relational Coordination Playbook is provided here in the form of a slide deck for easy use, to be updated from time to time with links to additional resources as they become available.


Relational Facilitation Guidebook
This guidebook offers an introduction to relational facilitation, a four-step implementation strategy that combines the theory of relational coordination with the implementation strategy of facilitation to assess and improve relationships and communication within and between teams to support program outcomes. This guidebook is for anyone who wants to improve work processes. Relational facilitation has been shown to support strategic priorities by increasing patient satisfaction with care, employee productivity, and reducing staff burnout. This guidebook has been developed by Brigid Connelly, Heather Gilmartin, Anne Hale, Rachael Kenney, Brianne Morgan and Heidi Sjoberg at the Denver/Seattle Center of Innovation for the Veterans Health Administration. See below for ongoing research and validation of this methodology.
Research to Test Relational Facilitation Methods
- Sjoberg H, Kenney RR, Morgan B, Connelly B, Jones CD, Ali HN, Battaglia C & Gilmartin HM. (2022). Adaptations to relational facilitation for two national care coordination programs during COVID-19. Frontiers in Health Services, 2:952272.
- Glasgow RE, McCreight MS, Morgan B, Sjoberg H, Hale A, Motta LU, McKown L, Kenney R, Gilmartin H, Jones CD, Frank J, Rabin BA & Battaglia C. (2025). Use of implementation logic models in the Quadruple Aim QUERI: Conceptualization and evolution. Implementation Science Communications, Jan 16(1):10.