scholarly journals Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices

2021 ◽  
Vol 19 (6) ◽  
pp. 499-506
Author(s):  
Katie F. Coleman ◽  
Chloe Krakauer ◽  
Melissa Anderson ◽  
LeAnn Michaels ◽  
David A. Dorr ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Clinical Performance ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Qualitative evaluation of a cardiovascular quality improvement programmereveals sizable data inaccuracies in small primary care practices

2019 ◽  
Vol 8 (4) ◽  
pp. e000702
Author(s):  
Megan McHugh ◽  
Tiffany Brown ◽  
David T Liss ◽  
Stephen D Persell ◽  
Milton Garrett ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Qualitative Evaluation ◽  
Small Primary ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Clinician Perspectives on the Benefits of Practice Facilitation for Small Primary Care Practices

2019 ◽  
Vol 17 (Suppl 1) ◽  
pp. S17-S23 ◽  
Author(s):  
Erin S. Rogers ◽  
Allison M. Cuthel ◽  
Carolyn A. Berry ◽  
Sue A. Kaplan ◽  
Donna R. Shelley
Keyword(s):  
Primary Care ◽  
Practice Facilitation ◽  
Small Primary ◽  
Clinician Perspectives ◽  
Care Practices ◽  
Primary Care Practices

Advance-care planning quality improvement plan: A Cancer Care Ontario toolkit to support primary care teams to implement advance care plans in practice.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 76-76
Author(s):  
Jeff Myers ◽  
Suzanne Strasberg ◽  
Kathi Carroll ◽  
Zabin Dhanji ◽  
Ingrid Harle ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Advance Care Planning ◽  
Cancer Care ◽  
Care Planning ◽  
Advance Care ◽  
Care Practices ◽  
Primary Care Practices ◽  
Eol Care

76 Background: In Ontario, the Ministry of Health and Long Term Care’s (MOHLTC) uses Quality Improvement Plans (QIPs) to drive system improvement aimed at providing high value, high quality care for all. To support the introduction of QIPs into the primary care sector, Cancer Care Ontario has developed an Advance Care Planning (ACP) toolkit for practices that include ACP as part of their annual QIP. ACP is an ongoing and dynamic process that involves a capable individual reflecting on their current values and beliefs for their health care, communicating their personal wishes for future health care and identifying an individual who will make decisions on their behalf in the event that they are unable to provide informed consent. The process is iterative and wishes may change over time with changes in health status. Methods: The ACP QIP was developed based on the Plan, Do, Study, Act cycle of continuous quality improvement. The ACP QIP provides primary care practices with detailed instructions on how to implement, monitor and report on an ACP Quality Improvement initiative. Importantly, the ACP QIP provides guidance and practical tools for developing objectives, establishing targets, and identifying measures and baselines for performance. CCO is actively promoting the ACP QIP in an effort to encourage uptake and broad adoption across Ontario. Results: There is now evidence that with ACP there is a greater likelihood EOL wishes will be both known and followed resulting in improved EOL care. ACP is also associated with decreased distress among the family members. Conclusions: Creating an ACP QIP supports primary care’s focus on advancing quality patient care. Importantly, implementing the ACP QIP into primary care practices has the potential to improve EOL care and secondarily reduce health care costs ultimately working towards achieving the triple aim of “better care, better health, and lower costs”.

After the Collaborative Is Over: What Sustains Quality Improvement Initiatives in Primary Care Practices?

2009 ◽  
Vol 35 (10) ◽  
pp. 502-AP3 ◽  
Author(s):  
Paul Bray ◽  
Doyle M. Cummings ◽  
Marti Wolf ◽  
Mark W. Massing ◽  
Janet Reaves
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Care Practices ◽  
Primary Care Practices

Small Primary Care Practices Face Four Hurdles—Including A Physician-Centric Mind-Set—In Becoming Medical Homes

2012 ◽  
Vol 31 (11) ◽  
pp. 2417-2422 ◽  
Author(s):  
Paul A. Nutting ◽  
Benjamin F. Crabtree ◽  
Reuben R. McDaniel
Keyword(s):  
Primary Care ◽  
Medical Homes ◽  
Small Primary ◽  
Care Practices ◽  
Mind Set ◽  
Primary Care Practices

scholarly journals Assessing Quality Improvement Capacity in Primary Care Practices

2019 ◽  
Author(s):  
Michael Parchman ◽  
Melissa L. Anderson ◽  
Katie F Coleman ◽  
LeAnn Michaels ◽  
Linnaea Schuttner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Primary Care ◽  
Quality Improvement ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Prior Experience ◽  
Pressure Control ◽  
Care Practices ◽  
Primary Care Practices

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. PFs notes provide examples of high scoring practices devoting time and attention to quality improvement whereas low scoring practices did not. 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.

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