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Published on: February 16, 2011
Building high functioning clinical teams through quality improvement initiatives.
Thomas P O'Toole1, Richard Cabral, Jonathan M Blumen
1Chief, Primary Care, Providence VA Medical Center, Providence, RI, USA. thomas.o'toole@va.gov
Linking clinical performance feedback to team-based quality improvement initiatives significantly enhances chronic disease management in family medicine. This approach sustains improved patient outcomes and team functioning.
Area of Science:
- Primary Care Medicine
- Quality Improvement Science
- Health Services Research
Background:
- Team-based care models are linked to better patient outcomes.
- Effective strategies for implementing and maintaining team-based care in family medicine are not well-defined.
Purpose of the Study:
- To assess the impact of sequential chronic disease management feedback reports.
- To evaluate a team-based quality improvement intervention linked to feedback.
Main Methods:
- Longitudinal time series cohort study over 24 months.
- Involved 30 primary care providers across seven practices.
- Assessed clinical performance and self-reported effectiveness.
Main Results:
- Patient low-density lipoprotein targets improved over 24 months (P<0.001).
- Feedback linked to team-based quality improvement yielded more robust and sustained results.
- Clinicians reported positive impacts on practice approach and team dynamics.
Conclusions:
- Clinical performance feedback integrated with team-led quality improvement initiatives is strategic.
- This approach can enhance both clinical outcomes and team-based care in primary settings.
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