Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Developing a CQI program in a family medicine department

P Zazove1, M S Klinkman

  • 1University of Michigan Health Systems, Ann Arbor 48103, USA. pzaz@umich.edu

The Joint Commission Journal on Quality Improvement
|September 18, 1998
PubMed
Summary

Implementing continuous quality improvement (CQI) in primary care faces challenges like physician skepticism and data issues. The University of Michigan

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Proposed new diagnoses of anxious depression and bodily stress syndrome in ICD-11-PHC: an international focus group study.

Family practice·2012
Same author

Sexual behaviors and other risk factors for Candida vulvovaginitis.

Journal of women's health & gender-based medicine·2000
Same author

Preventive attitudes and beliefs of deaf and hard-of-hearing individuals.

Archives of family medicine·2000
Same author

Mental health problems in primary care: a research agenda.

International journal of psychiatry in medicine·1999
Same author

The psychosexual impact of human papillomavirus cervical infections.

The Journal of family practice·1999
Same author

Depression in the family physician's office: what the psychiatrist needs to know: the Michigan Depression Project.

The Journal of clinical psychiatry·1999

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Primary Care Medicine

Background:

  • Continuous Quality Improvement (CQI) implementation lags in ambulatory care compared to hospital settings.
  • Physician skepticism, unique ambulatory care processes, and data limitations hinder outpatient CQI.
  • The University of Michigan's Department of Family Medicine (DFM) initiated CQI projects in 1995.

Purpose of the Study:

  • To develop a comprehensive plan for faculty and staff education on CQI principles.
  • To design strategies for gaining buy-in for CQI concepts among all personnel.
  • To outline a plan for addressing clinical CQI, administrative systems, work environment improvements, and larger projects.

Main Methods:

  • CQI activities were integrated into monthly business agendas at each clinical site.
  • Local committees were established at each site.
  • Each site began developing at least one CQI project.

Main Results:

  • The DFM established a framework for outpatient CQI implementation.
  • CQI integration into routine operations was initiated across seven family practice sites.
  • The process involved developing educational plans, buy-in strategies, and project frameworks.

Conclusions:

  • Implementing outpatient CQI is complex, facing resistance to change, time constraints, and resource limitations.
  • Despite challenges, CQI is crucial for competitiveness in the healthcare market.
  • Ongoing efforts are needed to overcome persistent obstacles in outpatient CQI programs.

Related Experiment Videos