Improving Delivery of Clinical Preventive Services: A Multi-Year Journey
Refers to article:
Optimizing Practice Through Research: A Preventive Services Case Study
Thomas E. Kottke, Leif I. Solberg
American Journal of Preventive Medicine
December 2007 (Vol. 33, Issue 6, Pages 505-506) Full Text |
Full-Text PDF (44 KB)
Background
Adults in the United States typically do not receive all recommended clinical preventive services (CPS) for which they are eligible, missing opportunities for prevention and/or early detection. A multi-year quality improvement initiative targeting CPS delivery in a fee-for-service ambulatory care network is described.
Methods
Since 1999, HealthTexas Provider Network (HTPN) has implemented multiple initiatives to increase CPS delivery, including a flowsheet, a physician champion model, physician- and practice-level audit and feedback, and rapid-cycle quality improvement training.
Results
From 2000 to 2006, “recommended or done” CPS delivery increased from 68% to 92%, and “done” from 70% to 86% (2001 to 2006). “Perfect care” composite performance increased from 0.19 to 0.51 (2001 to 2006).
Conclusions
Long-term, multistrategy approaches can achieve substantial sustained improvement in CPS delivery throughout a large ambulatory care provider network.
aInstitute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas
bHealthTexas Provider Network, Baylor Health Care System, Dallas, Texas
Address correspondence and reprint requests to: David J. Ballard, MD, MSPH, PhD, FACP, Senior Vice President and Chief Quality Officer, Baylor Health Care System, Institute for Health Care Research and Improvement, 8080 North Central Expressway, Suite 500, Dallas TX 75206.
ABSTRACT