Quality Improvement in Small Office Settings
Author Information
Author(s): Wolfson Daniel, Bernabeo Elizabeth, Leas Brian, Sofaer Shoshanna, Pawlson Gregory, Pillittere Donna
Primary Institution: American Board of Internal Medicine Foundation
Hypothesis
What are the characteristics and organizational cultures of physicians in smaller practices engaged in quality improvement initiatives?
Conclusion
Physicians in small practices can successfully engage in quality improvement activities, but face unique challenges and barriers.
Supporting Evidence
- 74% of physicians noted improvements in efficiency and standardization due to quality improvement activities.
- 66% reported feeling that their reputation in the community had improved.
- 40% of practices reported increased revenues from internal quality improvement initiatives.
Takeaway
Doctors in small clinics can make their practices better, but they have to deal with some tough challenges like not having enough time or money.
Methodology
Qualitative study based on semi-structured, open-ended interviews with practices that used performance data for quality improvement.
Potential Biases
Potential bias due to purposive sampling and preconceived notions in coding.
Limitations
The sample may not represent all small practices, and findings may not apply to practices outside the U.S.
Participant Demographics
Participants included 42% general internists, 31% family medicine, and 18% pediatrics, with a median practice size of 6.0.
Digital Object Identifier (DOI)
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