Quality Improvement in Small Office Settings: An Examination of Successful Practices
Physicians in small to moderate size practices (<25 physicians) face unique challenges in implementing quality improvement (QI) initiatives, including limited resources, small staffs, and inadequate information technology systems. This qualitative study sought to identify and understand the characteristics and organizational cultures of physicians working in smaller practices who are actively engaged in measurement and quality improvement initiatives.
Methods: We undertook a qualitative study, based on semi-structured, open-ended interviews conducted with practices (N=39) that used performance data to drive quality improvement activities
Results: Physicians indicated that benefits to performing measurement and QI included greater practice efficiency, patient and staff retention, and higher staff and clinician satisfaction with practice. Internal facilitators included the designation of a practice champion, cooperation of other physicians and staff, and the involvement of practice leaders.
Time constraints, cost of activities, problems with information management and or technology, lack of motivated staff, and a lack of financial incentives were commonly reported as barriers.
Conclusions: These findings shed light on how physicians engage in quality improvement activities, and may help raise awareness of and aid in the implementation of future initiatives in small practices more generally.
Author: Daniel Wolfson, Elizabeth Bernabeo, Brian Leas, Shoshanna Sofaer, Gregory Pawlson and Donna Pillittere
Credits/Source: BMC Family Practice 2009, 10:14
Published on: 2009-02-09
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
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