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IMPROVE: bridge over troubled waters

S Magnan1, L I Solberg, T E Kottke

  • 1Blue Cross and Blue Shield of Minnesota and Blue Plus, St Paul 55164-0179, USA. smagnan@bcbsmn.com

The Joint Commission Journal on Quality Improvement
|November 5, 1998
PubMed
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Competing health organizations collaborated to improve adult preventive services using continuous quality improvement. The IMPROVE project demonstrated successful collaboration and enhanced skills despite market challenges.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Preventive Healthcare Delivery

Background:

  • The IMPROVE project built upon a prior 1995 collaboration focused on improving preventive services.
  • It was funded by the Agency for Health Care Policy and Research and involved two Twin Cities-based health maintenance organizations (HMOs).

Purpose of the Study:

  • To implement clinical systems for enhancing adult preventive service delivery in primary care settings.
  • To assess the impact of continuous quality improvement (CQI) strategies on healthcare collaboration and outcomes.

Main Methods:

  • A large randomized controlled trial involving 44 clinics initially, expanding to 57.
  • Intervention clinics received leadership support, CQI training, and networking opportunities, followed by comparison clinics.

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Main Results:

  • Despite environmental challenges, the collaboration fostered enhanced leadership and systems thinking.
  • Clinicians, medical clinics, and HMOs reported positive experiences and benefits extending into the community.

Conclusions:

  • The IMPROVE collaboration successfully navigated a competitive market, demonstrating sustained positive impact.
  • The project highlighted the benefits of inter-organizational collaboration in improving healthcare delivery.