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Documenting organisational development in general practice using a group-based assessment method: the Maturity Matrix
Tina Eriksson1, Volkert Dirk Siersma, Louise Løgstrup
1Research Unit and Department of General Practice, Institute of Public Health, University of Copenhagen, Munkegårdsvej 41b, 3490 Kvistgård, Denmark. eriksson@dadlnet.dk
Quality & Safety in Health Care
|July 3, 2010
Summary
The Maturity Matrix (MM) improved organizational development in Danish general practices. This self-assessment tool facilitated practice teams in identifying areas for improvement and achieving measurable progress over one year.
Area of Science:
- Primary Care
- Organizational Development
- Healthcare Management
Background:
- The Maturity Matrix (MM) is a formative evaluation instrument for primary care practices.
- It enables self-assessment of organizational development in a group setting with facilitator guidance.
- Practice teams use MM to discuss development, score performance, and set improvement goals.
Purpose of the Study:
- To introduce a translated and culturally adapted MM in Denmark.
- To test the feasibility of MM in Danish general practices.
- To promote and document organizational change and analyze associated factors.
Main Methods:
- MM was implemented in general practices across three Danish counties over two assessment sessions, one year apart.
- The study involved 60 practice teams in the first round (2006-2007) and 48 teams in the second round (2007-2008).
- Intervention included MM sessions, facilitator follow-up (reports, phone calls), and access to benchmark data.
Main Results:
- The mean overall MM score increased from 4.4 to 5.3 between the two sessions, indicating organizational development.
- Evidence suggested that lower-scoring dimensions were prioritized for improvement.
- Limited evidence indicated that prioritization and interventions between sessions aided change.
Conclusions:
- The Maturity Matrix (MM) proved effective in Danish general practices.
- Practice teams demonstrated learning and more efficient effort direction after a year.
- Findings inform future improvements in MM facilitation and follow-up components.
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