TY - JOUR
T1 - Fostering a culture of prevention in a residency program through a continuous quality improvement project
AU - Schneider, Gregory W.
AU - DeHaven, Mark
AU - Snell, Laura M.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2003
Y1 - 2003
N2 - This project explored the effect of a multifaceted quality improvement (QI) intervention at a university-based residency program clinic on the documented provision of preventive services. The intervention, based on the Put Prevention Into Practice program and standard QI techniques, consisted of patient self-administered Health Risk Profiles (HRPs) and a monthly educational curriculum for patients, staff, and providers. Documentation of preventive services in patient charts was measured using a repeated cross-sectional sampling design before and after the 1-year intervention period. Documentation of 8 of 19 preventive services under examination increased significantly (P < .05). Measurements of the intervention, including use of the HRPs and the educational curriculum, revealed little association with the observed improvements. Although the intervention was associated with improved documentation of clinical preventive services, specific elements of the intervention were underused. The authors postulate that the QI process fostered a culture change in the clinic that affected prevention activities. Whether the increased documentation of services reflected an increase in the actual provision of services and whether this increase is clinically significant require further study.
AB - This project explored the effect of a multifaceted quality improvement (QI) intervention at a university-based residency program clinic on the documented provision of preventive services. The intervention, based on the Put Prevention Into Practice program and standard QI techniques, consisted of patient self-administered Health Risk Profiles (HRPs) and a monthly educational curriculum for patients, staff, and providers. Documentation of preventive services in patient charts was measured using a repeated cross-sectional sampling design before and after the 1-year intervention period. Documentation of 8 of 19 preventive services under examination increased significantly (P < .05). Measurements of the intervention, including use of the HRPs and the educational curriculum, revealed little association with the observed improvements. Although the intervention was associated with improved documentation of clinical preventive services, specific elements of the intervention were underused. The authors postulate that the QI process fostered a culture change in the clinic that affected prevention activities. Whether the increased documentation of services reflected an increase in the actual provision of services and whether this increase is clinically significant require further study.
KW - Organizational study
KW - Prevention
KW - Quality improvement
UR - http://www.scopus.com/inward/record.url?scp=0037809497&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0037809497&partnerID=8YFLogxK
U2 - 10.1177/106286060301800206
DO - 10.1177/106286060301800206
M3 - Article
C2 - 12710557
AN - SCOPUS:0037809497
SN - 1062-8606
VL - 18
SP - 82
EP - 89
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 2
ER -