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Accreditation: A Quality Improvement Strategy for the Community-Based Family Practice
Grace Moe1, Kristy Hao Wang2, Soudarat Kousonsavath3
1Was the chief executive officer of WestView Primary Care Network from 2008 to 2012. Since 2012, she has been the executive director of innovation and strategic projects at Westview Physician Collaborative/WestView PCN. She has also been the project director of the Family Medicine-Westview Community Teaching Site since 2008. In addition, she is an assistant clinical professor in the Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta. With portfolios that bridge executive decisions, quality improvement and research, Grace Moe has facilitated and led the development and implementation of innovation and quality improvement projects that integrate providers and systems and that engage patients and the communities. She can be reached at: gmoe@ualberta.ca.
Abstract:
Five Alberta family practices were the first of their kind to pursue Accreditation Canada's Primary Care Accreditation in 2013-2015. This study examines the impact of accreditation as a quality improvement (QI) strategy for community-based/fee-for-service family practices. Pre-/post-accreditation data received on clinic compliance with accreditation standards, provider-reported work-life and patients' self-rated health status/care show massive improvement in accreditation-rated compliance scores, which were disproportional to provider-/patient-rated changes. A Donabedian-inspired explanation states that accreditation measures predominantly structures, whereas survey-sought provider/patient perspectives focus on process and outcomes. Costs and human resources burdens aside, clinics saw benefits in accreditation-incented QI initiatives and formal recognition of clinic excellence, albeit antecedent.
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