Matches in SemOpenAlex for { <https://semopenalex.org/work/W4285416700> ?p ?o ?g. }
- W4285416700 abstract "<sec> <title>BACKGROUND</title> The past decade has seen increasing opportunities and efforts to integrate quality improvement into health care. Practice facilitation is a proven strategy to support redesign and improvement in primary care practices that focuses on building organizational capacity for continuous improvement. Practice leadership, staff, and practice facilitators all play important roles in supporting quality improvement in primary care. However, little is known about their perspectives on the context, enablers, barriers, and strategies that impact quality improvement initiatives. </sec> <sec> <title>OBJECTIVE</title> This study aimed to develop a framework to enable assessment of contextual factors, challenges, and strategies that impact practice facilitation, clinical measure performance, and the implementation of quality improvement interventions. We also illustrated the application of the framework using a real-world case study. </sec> <sec> <title>METHODS</title> We developed the TITO (task, individual, technology, and organization) framework by conducting participatory stakeholder workshops and incorporating their perspectives to identify enablers and barriers to quality improvement and practice facilitation. We conducted a case study using a mixed methods approach to demonstrate the use of the framework and describe practice facilitation and factors that impact quality improvement in a primary care practice that participated in the Healthy Hearts in the Heartland study. </sec> <sec> <title>RESULTS</title> The proposed framework was used to organize and analyze different stakeholders’ perspectives and key factors based on framework domains. The case study showed that practice leaders, staff, and practice facilitators all influenced the success of the quality improvement program. However, these participants faced different challenges and used different strategies. The framework showed that barriers stemmed from patients’ social determinants of health, a lack of staff and time, and unsystematic facilitation resources, while enablers included practice culture, staff buy-in, implementation of effective practice facilitation strategies, practice capacity for change, and shared complementary resources from similar, ongoing programs. </sec> <sec> <title>CONCLUSIONS</title> Our framework provided a useful and generalizable structure to guide and support assessment of future practice facilitation projects, quality improvement initiatives, and health care intervention implementation studies. The practice leader, staff, and practice facilitator all saw value in the quality improvement program and practice facilitation. Practice facilitators are key liaisons to help the quality improvement program; they help all stakeholders work toward a shared target and leverage tailored strategies. Taking advantage of resources from competing, yet complementary, programs as additional support may accelerate the effective achievement of quality improvement goals. Practice facilitation–supported quality improvement programs may be opportunities to assist primary care practices in achieving improved quality of care through focused and targeted efforts. The case study demonstrated how our framework can support a better understanding of contextual factors for practice facilitation, which could enable well-prepared and more successful quality improvement programs for primary care practices. Combining implementation science and informatics thinking, our TITO framework may facilitate interdisciplinary research in both fields. </sec>" @default.
- W4285416700 created "2022-07-14" @default.
- W4285416700 creator A5023057565 @default.
- W4285416700 creator A5037782215 @default.
- W4285416700 creator A5044026169 @default.
- W4285416700 creator A5048562874 @default.
- W4285416700 creator A5062856893 @default.
- W4285416700 creator A5076495147 @default.
- W4285416700 creator A5086482657 @default.
- W4285416700 creator A5090103893 @default.
- W4285416700 date "2021-07-16" @default.
- W4285416700 modified "2023-10-16" @default.
- W4285416700 title "Identifying Contextual Factors and Strategies for Practice Facilitation in Primary Care Quality Improvement Using an Informatics-Driven Model: Framework Development and Mixed Methods Case Study (Preprint)" @default.
- W4285416700 cites W1480033610 @default.
- W4285416700 cites W1517369358 @default.
- W4285416700 cites W1582377055 @default.
- W4285416700 cites W1761136660 @default.
- W4285416700 cites W1969768954 @default.
- W4285416700 cites W1970969615 @default.
- W4285416700 cites W2007551741 @default.
- W4285416700 cites W2074005915 @default.
- W4285416700 cites W2098408559 @default.
- W4285416700 cites W2110091865 @default.
- W4285416700 cites W2148005405 @default.
- W4285416700 cites W2150129789 @default.
- W4285416700 cites W2166500065 @default.
- W4285416700 cites W2326868256 @default.
- W4285416700 cites W2397003148 @default.
- W4285416700 cites W2618327529 @default.
- W4285416700 cites W2771780822 @default.
- W4285416700 cites W2796864618 @default.
- W4285416700 cites W2797050147 @default.
- W4285416700 cites W2803420202 @default.
- W4285416700 cites W2805183194 @default.
- W4285416700 cites W2887474767 @default.
- W4285416700 cites W2889587326 @default.
- W4285416700 cites W2980551707 @default.
- W4285416700 cites W3022607203 @default.
- W4285416700 cites W3023683044 @default.
- W4285416700 cites W3024682157 @default.
- W4285416700 cites W3088550079 @default.
- W4285416700 cites W3088632493 @default.
- W4285416700 cites W3119953308 @default.
- W4285416700 cites W3149870484 @default.
- W4285416700 cites W4213188979 @default.
- W4285416700 cites W4239582632 @default.
- W4285416700 cites W4246217821 @default.
- W4285416700 cites W4248967070 @default.
- W4285416700 cites W4250661331 @default.
- W4285416700 cites W621823012 @default.
- W4285416700 doi "https://doi.org/10.2196/preprints.32174" @default.
- W4285416700 hasPublicationYear "2021" @default.
- W4285416700 type Work @default.
- W4285416700 citedByCount "0" @default.
- W4285416700 crossrefType "posted-content" @default.
- W4285416700 hasAuthorship W4285416700A5023057565 @default.
- W4285416700 hasAuthorship W4285416700A5037782215 @default.
- W4285416700 hasAuthorship W4285416700A5044026169 @default.
- W4285416700 hasAuthorship W4285416700A5048562874 @default.
- W4285416700 hasAuthorship W4285416700A5062856893 @default.
- W4285416700 hasAuthorship W4285416700A5076495147 @default.
- W4285416700 hasAuthorship W4285416700A5086482657 @default.
- W4285416700 hasAuthorship W4285416700A5090103893 @default.
- W4285416700 hasBestOaLocation W42854167002 @default.
- W4285416700 hasConcept C111472728 @default.
- W4285416700 hasConcept C127413603 @default.
- W4285416700 hasConcept C1337776 @default.
- W4285416700 hasConcept C138885662 @default.
- W4285416700 hasConcept C144133560 @default.
- W4285416700 hasConcept C151730666 @default.
- W4285416700 hasConcept C15744967 @default.
- W4285416700 hasConcept C159110408 @default.
- W4285416700 hasConcept C160735492 @default.
- W4285416700 hasConcept C169760540 @default.
- W4285416700 hasConcept C17744445 @default.
- W4285416700 hasConcept C184356942 @default.
- W4285416700 hasConcept C195094911 @default.
- W4285416700 hasConcept C198783460 @default.
- W4285416700 hasConcept C199539241 @default.
- W4285416700 hasConcept C201305675 @default.
- W4285416700 hasConcept C21547014 @default.
- W4285416700 hasConcept C27415008 @default.
- W4285416700 hasConcept C2779343474 @default.
- W4285416700 hasConcept C2779530757 @default.
- W4285416700 hasConcept C39549134 @default.
- W4285416700 hasConcept C41008148 @default.
- W4285416700 hasConcept C56739046 @default.
- W4285416700 hasConcept C71405471 @default.
- W4285416700 hasConcept C71924100 @default.
- W4285416700 hasConcept C86803240 @default.
- W4285416700 hasConceptScore W4285416700C111472728 @default.
- W4285416700 hasConceptScore W4285416700C127413603 @default.
- W4285416700 hasConceptScore W4285416700C1337776 @default.
- W4285416700 hasConceptScore W4285416700C138885662 @default.
- W4285416700 hasConceptScore W4285416700C144133560 @default.
- W4285416700 hasConceptScore W4285416700C151730666 @default.
- W4285416700 hasConceptScore W4285416700C15744967 @default.
- W4285416700 hasConceptScore W4285416700C159110408 @default.
- W4285416700 hasConceptScore W4285416700C160735492 @default.
- W4285416700 hasConceptScore W4285416700C169760540 @default.