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Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices
- Source :
- Annals of Family Medicine. Nov-Dec, 2021, Vol. 19 Issue 6, p499, 8 p.
- Publication Year :
- 2021
-
Abstract
- PURPOSE We undertook a study to assess whether implementing 7 evidence-based strategies to build improvement capacity within smaller primary care practices was associated with changes in performance on clinical quality measures (CQMs) for cardiovascular disease. METHODS A total of 209 practices across Washington, Oregon, and Idaho participated in a pragmatic clinical trial that focused on building quality improvement capacity as measured by a validated questionnaire, the 12-point Quality Improvement Capacity Assessment (QICA). Clinics reported performance on 3 cardiovascular CQMs--appropriate aspirin use, blood pressure (BP) control ( RESULTS Practices improved QICA scores by 1.44 points (95% CI, 1.20-1.68; P CONCLUSIONS Improvements in clinic-level performance on BP control may be attributed to implementation of 7 evidence-based strategies to build quality improvement capacity. These strategies were feasible to implement in small practices over 15 months. Key words: practice facilitation; high-leverage change; quality improvement; cardiovascular disease; risk factors; preventive medicine; evidence-based practice; clinical quality measure; Healthy Hearts Northwest study; EvidenceNOW; AHRQ; organizational innovation<br />INTRODUCTION Primary care practices in the United States are in a period of transition, with considerable pressure from payers and policy makers to improve quality of care and reduce costs. [...]
Details
- Language :
- English
- ISSN :
- 15441709
- Volume :
- 19
- Issue :
- 6
- Database :
- Gale General OneFile
- Journal :
- Annals of Family Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsgcl.684933628
- Full Text :
- https://doi.org/10.1370/afm.2733