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The Military-Civilian Partnership Quality Improvement Program Concept: A Process to Improve Data Collection and

Justin P Fox1,2, Ryan E Earnest3, Valerie Sams4

  • 188th Medical Group, Wright Patterson Medical Center, Wright Patterson AFB, OH 45433, USA.

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Summary

A new quality improvement program effectively captures external clinical workload data for military physicians in Military-Civilian Partnerships (MCPs), enhancing readiness assessments and program evaluations.

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Area of Science:

  • Military health systems
  • Health services research
  • Quality improvement in healthcare

Background:

  • Military-Civilian Partnerships (MCPs) are crucial for military physician deployment readiness.
  • Tracking clinical activity of physicians in MCPs presents significant challenges.
  • Effective data collection is needed to assess readiness and MCP effectiveness.

Purpose of the Study:

  • To introduce and evaluate a locally driven process for passive collection of external clinical workload data.
  • To improve the assessment of MCP physicians' deployment readiness.
  • To enhance the evaluation of individual MCP effectiveness.

Main Methods:

  • Conducted quality improvement projects from March 2020 to February 2023 at Wright Patterson Medical Center.
  • Assessed existing data collection, tested various methods (self-reporting, app, automated), and refined the process.
  • Evaluated the refined process in two MCPs, focusing on monthly healthcare data capture.

Main Results:

  • Identified weaknesses: unclear responsibility, inadequate physician rosters, underutilization of resources.
  • Implemented revisions: clear responsibility, physician matching, passive data collection via billing/IT, integration into executive meetings.
  • Achieved a 4-fold increase in monthly data capture at WPMC, with similar improvements at another site.

Conclusions:

  • The Military-Civilian Partnership Quality Improvement Program is an effective, locally driven method for capturing external clinical workload data.
  • This process enhances data for military providers in MCPs.
  • Further validation at other institutions is recommended to build a community of MCP champions.