Practice-tailored facilitation to improve pediatric preventive care delivery: a randomized trial.

ABSTRACT:

Objective

Evolving primary care models require methods to help practices achieve quality standards. This study assessed the effectiveness of a Practice-Tailored Facilitation Intervention for improving delivery of 3 pediatric preventive services.

Methods

In this cluster-randomized trial, a practice facilitator implemented practice-tailored rapid-cycle feedback/change strategies for improving obesity screening/counseling, lead screening, and dental fluoride varnish application. Thirty practices were randomized to Early or Late Intervention, and outcomes assessed for 16 419 well-child visits. A multidisciplinary team characterized facilitation processes by using comparative case study methods.

Results

Baseline performance was as follows: for Obesity: 3.5% successful perf

SUBMITTER: Meropol SB 

PROVIDER: S-EPMC4035588 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature