Assessing quality improvement capacity in primary care practices.
BMC Fam Pract
; 20(1): 103, 2019 07 25.
Article
em En
| MEDLINE
| ID: mdl-31345167
ABSTRACT
BACKGROUND:
Healthy Hearts Northwest (H2N) is a study of external support strategies to build quality improvement (QI) capacity in primary care with a focus on cardiovascular risk factors appropriate aspirin use, blood pressure control, and tobacco screening/cessation.METHODS:
To guide practice facilitator support, experts in practice transformation identified seven domains of QI capacity and mapped items from a previously validated medical home assessment tool to them. A practice facilitator (PF) met with clinicians and staff in each practice to discuss each item on the Quality Improvement Capacity Assessment (QICA) resulting in a practice-level response to each item. We examined the association between the QICA total and sub-scale scores, practice characteristics, a measure of prior experience with managing practice change, and performance on clinical quality measures (CQMs) for the three cardiovascular risk factors.RESULTS:
The QICA score was associated with prior experience managing change and moderately associated with two of the three CQMs aspirin use (r = 0.16, p = 0.049) and blood pressure control (r = 0.18, p = 0.013). Rural practices and those with 2-5 clinicians had lower QICA scores..CONCLUSIONS:
The QICA is useful for assessing QI capacity within a practice and may serve as a guide for both facilitators and primary care practices in efforts to build this capacity and improve measures of clinical quality. TRIAL REGISTRATION This trial is registered with www.clinicaltrials.gov Identifier# NCT02839382, retrospectively registered on July 21, 2016.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Doenças Cardiovasculares
/
Melhoria de Qualidade
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article