A novel approach to quality improvement in a safety-net practice: concurrent peer review visits.

ABSTRACT:

Objective

Concurrent peer review visits are structured office visits conducted by clinician peers of the primary care clinician that are specifically designed to reduce competing demands, clinical inertia, and bias. We assessed whether a single concurrent peer review visit reduced clinical inertia and improved control of hypertension, hyperlipidemia, and diabetes control among underserved patients.

Methods

We conducted a randomized encouragement trial to evaluate concurrent peer review visits with a community health center. Seven hundred twenty-seven patients with hypertension, hyperlipidemia, and/or diabetes who were not at goal for systolic blood pressure (SBP), low-density lipoprotein cholesterol (LDL-C), and/or glycated hemoglobin (A1c) were randomly assigned to an invit

SUBMITTER: Fiscella K 

PROVIDER: S-EPMC3123899 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature