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A systematic approach to practice assessment and quality improvement intervention tailoring
Mary C Ruhe1, Caroline Carter, David Litaker
1Department of Family Medicine, Cleveland, OH, USA. Mary.Ruhe@case.edu
Quality Management in Health Care
|October 24, 2009
Summary
Tailored interventions improve healthcare quality by assessing practice settings and stakeholders. The Practice Change Model (PCM) guides this process for sustained improvements in diverse healthcare environments.
Area of Science:
- Healthcare Quality Improvement
- Implementation Science
- Organizational Change Management
Background:
- Understanding tailored interventions for healthcare quality is limited.
- The Practice Change Model (PCM) offers a framework for intervention design.
- Assessing fit between interventions and practice settings is crucial.
Purpose of the Study:
- Identify and describe assessment and tailoring activities.
- Enhance intervention fit within diverse practice settings.
- Utilize the Practice Change Model (PCM) for quality improvement.
Main Methods:
- Collected quantitative and qualitative data from two primary care trials.
- Employed a PCM-based template for analysis.
- Focused on practices in northeast Ohio.
Main Results:
- Intervention tailoring requires assessing stakeholder motivations, external factors, and resources.
- Effective tailoring involves collaboration, flexibility, feedback, and diverse engagement strategies.
- Specific tactics include brainstorming, reframing, and consultant roles.
Conclusions:
- Model-driven practice assessment facilitates tailored interventions.
- Addresses unique conditions influencing quality management implementation.
- Supports sustained improvement in healthcare delivery.
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