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Outpatient quality improvement in academic faculty practice plans: does it exist?

Vittorio Maio1, Neil I Goldfarb, Mark Keroack

  • 1Department of Health Policy, Jefferson Medical College, Philadelphia, PA 19107, USA. vittorio.maio@jefferson.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|December 29, 2004
PubMed
Summary

Academic faculty practice plans (FPPs) show interest in ambulatory care quality improvement (QI), but most lack robust programs. Key barriers include resource limitations, hindering QI development in outpatient settings.

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Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Academic Medicine

Background:

  • Academic faculty practice plans (FPPs) are integral to healthcare delivery and medical education.
  • The increasing emphasis on quality improvement (QI) necessitates understanding FPPs' engagement in outpatient settings.
  • Existing research often focuses on inpatient QI, leaving a gap in understanding outpatient QI within FPPs.

Purpose of the Study:

  • To assess the current involvement of FPPs in ambulatory care quality improvement (QI).
  • To describe the structural characteristics of QI initiatives within outpatient FPPs.
  • To identify facilitators and barriers impacting the development of outpatient QI programs in FPPs.

Main Methods:

  • A web-based questionnaire was administered to leaders of 88 FPPs within the University HealthSystem Consortium (UHC).

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  • The survey collected data on organizational characteristics, QI engagement, and influencing factors.
  • Descriptive statistics were used to analyze responses from 33 participating FPPs.

    • Main Results:

    • Nearly all surveyed FPPs reported some outpatient QI activities, but only 12% met criteria for a robust QI program.
    • Key indicators like dedicated outpatient quality committees and QI budgets were present in only one-third and one-fifth of FPPs, respectively.
    • Patient safety and external demand drove QI efforts, while lack of human and other resources posed significant barriers.

    Conclusions:

    • FPPs express strong interest in outpatient QI, but their efforts are nascent and lag behind inpatient QI.
    • Significant resource limitations impede the development of comprehensive outpatient QI programs and a culture of quality.
    • Substantial investment in resources is required for FPPs to advance outpatient quality improvement initiatives effectively.