How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?

Publication/Presentation Date

12-23-2022

Abstract

INTRODUCTION: To examine the association of prior investment on the effectiveness of organizations delivering large-scale external support to improve primary care.

METHODS: Mixed-methods study of 7 EvidenceNOW grantees (henceforth, Cooperatives) and their recruited practices (n = 1720).

RESULTS: Cooperatives with High (vs low) levels of prior experience with and investment in large-scale QI before EvidenceNOW recruited more geographically dispersed and diverse practices, with lower baseline ABCS performance (differences ranging from 2.8% for blood pressure to 41.5% for smoking), delivered more facilitation (mean=+20.3 hours,

DISCUSSION: Long-term investment that establishes regionwide organizations with infrastructure and experience to support primary care practices in QI is associated with more consistent delivery of facilitation support, and greater improvement in practice capacity and some clinical outcomes.

Volume

35

Issue

6

First Page

1115

Last Page

1127

ISSN

1558-7118

Disciplines

Medicine and Health Sciences

PubMedID

36564196

Department(s)

Department of Family Medicine

Document Type

Article

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