TY - JOUR
AU - Rubenstein, Lisa
AB - Background: Poor morale among primary care providers (PCPs) and staff can undermine the success of patient- centered care models such as the patient-centered medical home that rely on highly coordinated inter-professional care teams. Medical home literature hypothesizes that participation in quality improvement can ease medical home transformation. No studies, however, have assessed the impact of quality improvement participation on morale (e.g., burnout or dissatisfaction) during transformation. The objective of this study is to examine whether primary care practices participating in evidence-based quality improvement (EBQI) during medical home transformation reduced burnout and increased satisfaction over time compared to non-participating practices. Methods: We used a longitudinal quasi-experimental design to examine the impact of EBQI (vs. no EBQI), a multi-level, interdisciplinary approach for engaging frontline primary care practices in developing evidence-based improvement innovations and tools for spread on PCP and staff morale following the 2010 national implementation of the medical home model in the Veterans Health Administration. The sample included 356 primary care employees (107 primary care providers and 249 staff) from 23 primary care practices (6 intervention and 17 comparison) within one Veterans Health Administration region. Three intervention practices began EBQI in 2011 (early) and three more began EBQI in 2012 
TI - Long-term impact of evidence-based quality improvement for facilitating medical home implementation on primary care health professional morale
JF - BMC Family Practice
DO - 10.1186/s12875-018-0824-4
DA - 2018-08-31
UR - https://www.deepdyve.com/lp/springer-journals/long-term-impact-of-evidence-based-quality-improvement-for-5MSPx00IXC
SP - 1
EP - 10
VL - 19
IS - 1
DP - DeepDyve
ER -