| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
ORGANISATIONAL MATTER |
1 The Nordic School of Public Health, Goteborg, Sweden
2 The Health Services Management Centre, Birmingham University, UK
3 Harvard Medical School, Boston, USA
4 RAND Health, Santa Monica, California, USA
5 The University of Wisconsin, Madison, USA
6 Harvard Medical School, Boston, USA
7 Directed Creativity, Georgia, USA
11 Division of Health Policy & Management, University of California-Berkeley, USA
12 Royal College of General Practitioners, London, UK
Correspondence to:
Dr J Øvretveit, Professor of Health Policy and Management, The Nordic School of Public Health, Goteborg, Box 12133, S-40242 Sweden;
jovret{at}aol.com.
ABSTRACT
Quality improvement collaboratives are increasingly being used in many countries to achieve rapid improvements in health care. However, there is little independent evidence that they are more cost effective than other methods, and little knowledge about how they could be made more effective. A number of systematic evaluations are being performed by researchers in North America, the UK, and Sweden. This paper presents the shared ideas from two meetings of these researchers. The evidence to date is that some collaboratives have stimulated improvements in patient care and organisational performance, but there are significant differences between collaboratives and teams. The researchers agreed on the possible reasons why some were less successful than others, and identified 10 challenges which organisers and teams need to address to achieve improvement. In the absence of more conclusive evidence, these guidelines are likely to be useful for collaborative organisers, teams and their managers and may also contribute to further research into collaboratives and the spread of innovations in health care.
Keywords: quality improvement; collaboratives; teamwork; leadership
This article has been cited by other articles:
|
|
 |
|
  C. M. Lannon, K. Flower, P. Duncan, K. S. Moore, J. Stuart, and J. Bassewitz The Bright Futures Training Intervention Project: Implementing Systems to Support Preventive and Developmental Services in Practice Pediatrics, July 1, 2008; 122(1): e163 - e171. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. M T Schouten, M. E J L Hulscher, J. J E v. Everdingen, R. Huijsman, and R. P T M Grol Evidence for the impact of quality improvement collaboratives: systematic review BMJ, June 28, 2008; 336(7659): 1491 - 1494. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. K Lindenauer Effects of quality improvement collaboratives BMJ, June 28, 2008; 336(7659): 1448 - 1449. [Full Text] [PDF]
|
|
|
|
 |
|
 E. J. Slora, J. M. Steffes, D. Harris, H. W. Clegg, D. Norton, P. M. Darden, S. A. Sullivan, and R. C. Wasserman Improving Pediatric Practice Immunization Rates Through Distance-Based Quality Improvement: A Feasibility Trial from PROS Clinical Pediatrics, February 1, 2008; 47(1): 25 - 36. [Abstract] [PDF]
|
|
|
|
 |
|
 P J Newton, E J Halcomb, P M Davidson, and A R Denniss Barriers and facilitators to the implementation of the collaborative method: reflections from a single site Qual. Saf. Health Care, December 1, 2007; 16(6): 409 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. E. Landon, L. S. Hicks, A. J. O'Malley, T. A. Lieu, T. Keegan, B. J. McNeil, and E. Guadagnoli Improving the Management of Chronic Disease at Community Health Centers N. Engl. J. Med., March 1, 2007; 356(9): 921 - 934. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. W. Hatler, D. Mast, J. Corderella, G. Mitchell, K. Howard, J. Aragon, and D. Bedker Using Evidence and Process Improvement Strategies to Enhance Healthcare Outcomes for the Critically Ill: A Pilot Project Am. J. Crit. Care., November 1, 2006; 15(6): 549 - 555. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L L Leape, G Rogers, D Hanna, P Griswold, F Federico, C A Fenn, D W Bates, L Kirle, and B R Clarridge Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual. Saf. Health Care, August 1, 2006; 15(4): 289 - 295. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Lemieux-Charles and W. L. McGuire What Do We Know about Health Care Team Effectiveness? A Review of the Literature. Med Care Res Rev, June 1, 2006; 63(3): 263 - 300. [Abstract] [PDF]
|
|
|
|
|
|
P. C. Young, G. B. Glade, G. J. Stoddard, and C. Norlin Evaluation of a Learning Collaborative to Improve the Delivery of Preventive Services by Pediatric Practices Pediatrics, May 1, 2006; 117(5): 1469 - 1476. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Agurto, J. Sandoval, M. De La Rosa, and M. E. Guardado Improving cervical cancer prevention in a developing country Int. J. Qual. Health Care, April 1, 2006; 18(2): 81 - 86. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. G. Bundy, G. D. Randolph, M. Murray, J. Anderson, and P. A. Margolis Open Access in Primary Care: Results of a North Carolina Pilot Project Pediatrics, July 1, 2005; 116(1): 82 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. I. Solberg If You've Seen One Quality Improvement Collaborative ... Ann. Fam. Med, May 1, 2005; 3(3): 198 - 199. [Full Text] [PDF]
|
|
|
|
|
|
J. W. Mold and K. A. Peterson Primary Care Practice-Based Research Networks: Working at the Interface Between Research and Quality Improvement Ann. Fam. Med, May 1, 2005; 3(suppl_1): S12 - S20. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Himmelfarb, B. J.G. Pereira, D. E. Wesson, P. C. Smedberg, and W. L. Henrich Payment for Quality in End-Stage Renal Disease J. Am. Soc. Nephrol., December 1, 2004; 15(12): 3263 - 3269. [Full Text] [PDF]
|
|
|
|
|
|
F Macfarlane, T Greenhalgh, T Schofield, and T Desombre RCGP Quality Team Development programme: an illuminative evaluation Qual. Saf. Health Care, October 1, 2004; 13(5): 356 - 362. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. S. Mittman Creating the Evidence Base for Quality Improvement Collaboratives Ann Intern Med, June 1, 2004; 140(11): 897 - 901. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 The Breakthrough Series: IHI's Collaborative Model for Achieving Breakthrough Improvement Diabetes Spectr, April 1, 2004; 17(2): 97 - 101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Randolph, M. Murray, J. A. Swanson, and P. A. Margolis Behind Schedule: Improving Access to Care for Children One Practice at a Time Pediatrics, March 1, 2004; 113(3): e230 - 237. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Cretin, S. M. Shortell, and E. B. Keeler An Evaluation of Collaborative Interventions to Improve Chronic Illness Care: Framework and Study Design Eval Rev, February 1, 2004; 28(1): 28 - 51. [Abstract] [PDF]
|
|
|
|
 |
|
 J. D. Horbar, P. E. Plsek, K. Leahy, and P. Ford The Vermont Oxford Network: Improving Quality and Safety Through Multidisciplinary Collaboration NeoReviews, February 1, 2004; 5(2): e42 - 49. [Full Text] [PDF]
|
|
|
|
|
|
S. Leatherman Optimizing quality collaboratives Qual. Saf. Health Care, January 12, 2002; 11(4): 307 - 307. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
