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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Related Experiment Video

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Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a

Catherine L Rohweder1,2, Abigail Morrison3, Kathleen Mottus2,4

  • 1Center for Women's Health Research, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA rohweder@email.unc.edu.

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|February 13, 2024
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Summary

Virtual quality improvement collaboratives (QICs) effectively engaged independent primary care practices during COVID-19, showing increased quality improvement capacity and tool usage. These findings highlight virtual QICs as a viable option for practice engagement.

Keywords:
Collaborative, breakthrough groupsEvaluation methodologyImplementation sciencePRIMARY CAREQuality improvement

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Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Primary Care Research

Background:

  • Quality Improvement Collaboratives (QICs) are recognized strategies for enhancing healthcare delivery and practice change.
  • Evaluating the implementation of virtual QICs is crucial for understanding their effectiveness, especially in diverse primary care settings.
  • The COVID-19 pandemic necessitated adaptations in healthcare delivery, including the shift to virtual collaborative models.

Purpose of the Study:

  • To evaluate the implementation outcomes of a virtual Quality Improvement Collaborative (QIC) involving independent primary care practices.
  • To assess participant engagement, quality improvement (QI) capacity, use of QI tools, and overall satisfaction with the virtual QIC model.
  • To determine the feasibility and attractiveness of virtual QICs as a method for engaging independent practices in quality improvement initiatives.

Main Methods:

  • A longitudinal case study design was employed to evaluate a virtual QIC over one year (July 2020-June 2021).
  • Practices participated in bimonthly online meetings and monthly QI coaching sessions.
  • Implementation outcomes measured included engagement (attendance, poll responses), QI capacity (coach assessments), QI tool utilization (Plan-Do-Check-Act cycles), and participant perceptions (surveys, interviews).

Main Results:

  • Seven clinics from five independent primary care practices, including community health centers and rural sites, participated.
  • High engagement was observed, with consistent attendance and regular QI coaching interactions.
  • Significant improvements in foundational, intermediate, and advanced QI capacity were noted, alongside the initiation of 26 Plan-Do-Check-Act cycles.
  • Most participants (91%) reported satisfaction with the virtual QIC experience, though challenges with real-time data and multiple electronic medical record systems were identified.

Conclusions:

  • Virtual QICs can achieve high participation and satisfaction rates among independent primary care practices.
  • The virtual format effectively enhanced quality improvement capacity and the utilization of QI tools over a 1-year period.
  • Virtual QICs present a promising and attractive alternative for engaging independent practices in quality improvement efforts, demonstrating adaptability during public health crises.