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A Taxonomy for External Support for Practice Transformation.

Leif I Solberg1, Anton Kuzel2, Michael L Parchman2

  • 1From Health Partners Institute, Minneapolis, MN (LIS); Virginia Commonwealth University, Richmond, VA (AKu, AKr); Kaiser Permanente Washington Health Research Institute, Seattle, WA (MLP); School of Global Public Health, New York University (NYU), New York, NY (DRS); University of Colorado, Aurora, CO (WPD, DF); Feinberg School of Medicine, Northwestern University, Chicago, IL (TLW, AKh); NYU Langone Health, New York NY, (AMN, CB); Oregon Health Sciences University, Portland, OR (LRF, DJC, LG); University of North Carolina at Chapel Hill, Chapel Hill, NC (SC); School of Public Health, UTHealth, Dallas, TX (BAB); Lehigh Valley Health Center, Easton, PA (WM); University of Oklahoma, Oklahoma City, OK (DD, ZN). leif.i.solberg@healthpartners.com.

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Summary
This summary is machine-generated.

A new taxonomy standardizes descriptions of external support for practice change, aiding communication between quality improvement, practice change research, and implementation science. This framework benefits researchers and healthcare leaders alike.

Keywords:
Change ManagementDelivery of Health CareDiffusion of InnovationImplementation ScienceOrganizational InnovationPrimary Health CareQuality Improvement

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Quality Improvement

Background:

  • Lack of a comprehensive framework for external practice change support.
  • Need for a standardized taxonomy for researchers and healthcare leaders.

Purpose of the Study:

  • Develop a taxonomy to describe external support for practice change.
  • Characterize interventions for improving cardiovascular preventive services.

Main Methods:

  • Collaborative development over 18 months by leaders of 8 Agency for Healthcare Research and Quality grants.
  • Combined literature reviews with practical experiences from the EvidenceNOW study.
  • Focused on over 1500 primary care practices nationwide.

Main Results:

  • Developed a taxonomy with 7 domains: conceptual models, support strategies, dose/mode, change process, care process, prescriptiveness, and standardization.
  • Created a model illustrating domain integration and responsiveness to practice needs.
  • The taxonomy comprehensively characterizes external support interventions.

Conclusions:

  • Facilitates communication and synergy between quality improvement, practice change research, and implementation science.
  • Enhances consistent documentation and characterization of external support interventions.
  • Designed for utility by practices, health systems, and researchers involved in change management.