Development of the Tool for Advancing Practice Performance, a practice-level survey to assess primary care structures and processes.

ABSTRACT: Despite progress to define primary care practice transformation models, there remain gaps in translating evidence-based guidelines into routine clinical care. Primary care providers (MD, DO, NP, PA) and researchers need tools to assess modifiable factors that improve practice performance to inform practice transformation efforts. We aimed to develop a pragmatic tool for assessing practice-level primary care structures and processes that are associated with better care quality and clinical outcomes. We generated 314 candidate items for the Tool for Advancing Practice Performance (TAPP) using data from a comprehensive literature review, Delphi study, and qualitative interviews with high-performing practices. We used empirical criteria and expert review to eliminate redundancy and improve cla

SUBMITTER: Kwok L 

PROVIDER: S-EPMC12443247 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature