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A Humanistic Approach to Improvement: The Multiple Sclerosis Continuous Quality Improvement Collaborative Coaching
Randall Scott Messier1,2, Brant J Oliver3,4,5
1Vermont Program for Quality in Health Care, Montpelier, VT, USA.
The Permanente Journal
|May 2, 2025
Summary
A coach-supported quality improvement (QI) program in multiple sclerosis (MS) care demonstrated feasibility and improved QI skills among healthcare teams. This learning health system (LHS) intervention invested in developing team capabilities for better patient outcomes.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Learning Health Systems
Background:
- Multiple sclerosis (MS) presents complex, chronic care challenges requiring system-level care customization.
- A multicenter study (2018-2022) implemented a coach-supported quality improvement (QI) intervention within a learning health system (LHS) framework.
Purpose of the Study:
- To evaluate the feasibility, acceptability, and impact of a coach-supported QI intervention on healthcare teams managing multiple sclerosis.
- To assess the advancement of QI skills and knowledge within participating MS care centers.
Main Methods:
- A cluster-randomized design was employed across three MS care centers within the MS-CQI Collaborative LHS.
- The intervention involved a 12-step QI Toolkit, bi-monthly team coaching, capability assessments, and data feedback from a patient registry.
- Coaches monitored progress, guided adherence to the QI process, and assessed team readiness and skill development.
Main Results:
- Participating teams showed initial low levels of QI skill and knowledge but perceived QI as important.
- QI skills, knowledge, and engagement improved over time as teams developed ownership and recognized intervention benefits.
- The coach-supported intervention demonstrated feasibility and acceptability within the MS-CQI study.
Conclusions:
- The coach-supported QI intervention proved feasible, acceptable, and useful for advancing QI capabilities in MS care.
- This humanistic, team-focused intervention highlights the value of investing in the QI workforce within LHS.
- The study provides a model for LHS-enabled interventions to enhance healthcare quality and outcomes.
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