Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices.

ABSTRACT:

Purpose

We undertook a study to assess whether implementing 7 evidence-based strategies to build improvement capacity within smaller primary care practices was associated with changes in performance on clinical quality measures (CQMs) for cardiovascular disease.

Methods

A total of 209 practices across Washington, Oregon, and Idaho participated in a pragmatic clinical trial that focused on building quality improvement capacity as measured by a validated questionnaire, the 12-point Quality Improvement Capacity Assessment (QICA). Clinics reported performance on 3 cardiovascular CQMs-appropriate aspirin use, blood pressure (BP) control (<140/90 mm Hg), and smoking screening/cessation counseling-at baseline (2015) and follow-up (2017). Regression analyses with change in CQM as th

SUBMITTER: Coleman KF 

PROVIDER: S-EPMC8575517 | biostudies-literature | 2021 Nov-Dec

REPOSITORIES: biostudies-literature