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Related Experiment Videos

What do collaborative improvement projects do? Experience from seven countries.

Tim Wilson1, Donald M Berwick, Paul D Cleary

  • 1RCGP Quality Unit, Royal College of General Practitioners, London, United Kingdom. twilson@rcgp.org.uk

Joint Commission Journal on Quality and Safety
|March 6, 2003
PubMed
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Collaborative quality improvement initiatives in healthcare vary widely. Identifying seven key features can help determine which approaches are most effective for better outcomes.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Organizational Behavior

Background:

  • Healthcare organizations increasingly use collaborative approaches for quality improvement.
  • Variations in collaborative structure and execution hinder effectiveness studies.
  • A standardized framework for describing collaborative components is lacking.

Purpose of the Study:

  • To identify common components of multiorganizational collaboratives.
  • To understand variations in the implementation of these components.
  • To inform future research on collaborative effectiveness.

Main Methods:

  • Conducted semistructured interviews with 15 collaborative leaders.
  • Ascertained common collaborative components through leader insights.

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  • Identified implementation variations for each component.

    • Main Results:

    • Seven critical features for collaborative effectiveness were identified: sponsorship, topic, ideas for improvements, participants, senior leadership support, preliminary work and learning, and strategies for learning and improvement.
    • Participants emphasized the importance of preliminary data collection and analysis for understanding organizational issues and establishing baseline data.
    • Variations in the implementation and function of these features were described.

    Conclusions:

    • Systematic study of variations in the seven key features is crucial.
    • Understanding these variations can elucidate the role and impact of collaboratives.
    • This research can guide the development of more effective quality improvement strategies.