Primary Care, Quality Improvement, and Health Systems Change

1993 ◽  
Vol 8 (2) ◽  
pp. 37-44 ◽  
Author(s):  
John W. Williamson ◽  
Karen Walters ◽  
Donald L. Cordes
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Health Systems ◽  
Systems Change ◽  
Care Quality ◽  
Primary Care Quality

scholarly journals Primary care quality improvement from a practice facilitator’s perspective

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Clare E Liddy ◽  
Valeriya Blazhko ◽  
Molly Dingwall ◽  
Jatinderpreet Singh ◽  
William E Hogg
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Care Quality ◽  
Primary Care Quality

A Primary Care Quality Improvement Approach to Health Care Transition

2012 ◽  
Vol 41 (5) ◽  
pp. e98-e105 ◽  
Author(s):  
Patience H. White ◽  
Margaret A. McManus ◽  
Jeanne W. McAllister ◽  
W. Carl Cooley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Care Quality ◽  
Care Transition ◽  
Health Care Transition ◽  
Primary Care Quality

scholarly journals Effects of Practice Turnover on Primary Care Quality Improvement Implementation

2019 ◽  
Vol 35 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Andrea N. Baron ◽  
Jennifer R. Hemler ◽  
Shannon M. Sweeney ◽  
Tanisha Tate Woodson ◽  
Allison Cuthel ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Large Scale ◽  
Team Building ◽  
Care Quality ◽  
Working Relationships ◽  
Primary Care Quality ◽  
Primary Care Practices ◽  
The Relationship

Primary care practices often engage in quality improvement (QI) in order to stay current and meet quality benchmarks, but the extent to which turnover affects practices’ QI ability is not well described. The authors examined qualitative data from practice staff and external facilitators participating in a large-scale QI initiative to understand the relationship between turnover and QI efforts. The examination found turnover can limit practices’ ability to engage in QI activities in various ways. When a staff member leaves, remaining staff often absorb additional responsibilities, and QI momentum slows as new staff are trained or existing staff are reengaged. Turnover alters staff dynamics and can create barriers to constructive working relationships and team building. When key practice members leave, they can take with them institutional memory about QI purpose, processes, and long-term vision. Understanding how turnover affects QI may help practices, and those helping them with QI, manage the disruptive effects of turnover.

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