Editorial: Continuous Quality Improvement (CQI)—Advancing Understanding of Design, Application, Impact, and Evaluation of CQI Approaches

Bailie, Ross; Bailie, Jodie; Larkins, Sarah; Broughton, Edward

doi:10.3389/fpubh.2017.00306

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…The study methodology was informed by the recent development of the evaluation framework for a Queensland Mental Health Prevention and Recovery Care service using quality improvement (QI) approaches ( 11 ). QI is characterized by the iterative use of processes and is increasingly being used in the evaluation of health services to bridge gaps between the evidence base for best practice, what actually happens in practice, and the achievement of improved population health outcomes ( 12 ). Participatory Action Research (PAR), which is based on reflection, data collection and taking action for change and improvement is the QI approach used in this evaluation ( 13 ).…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

Onnis

Kinchin

Pryce

et al. 2020

Front. Public Health

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There is increasing demand for mental health services to be accessible to diverse populations in flexible, yet, cost-effective ways. This article presents the findings from a study that evaluated the process of implementing Connect to Wellbeing (CTW), a new mental health intake, assessment and referral service in regional Australia, to determine how well it improved access to services, and to identify potential measures that could be used to evaluate value for money. The study used a hybrid study design to conduct a process evaluation to better understand: the process of implementing CTW; and the barriers and factors enabling implementation of CTW. In addition, to better understand how to measure the cost-effectiveness of such services, the hybrid study design included an assessment of potential outcome measures suitable for ascertaining both the effectiveness of CTW in client health outcomes, and conducting a value for money analysis. The process evaluation found evidence that by improving processes, and removing waitlists CTW had created an opportunity to broadened the scope and type of psychological services offered which improved accessibility. The assessment of potential outcome measures provided insight into suitable measures for future evaluation into service effectiveness, client health outcomes and value for money.

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Section: Methodsmentioning

confidence: 99%

Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

Onnis

Kinchin

Pryce

et al. 2020

Front. Public Health

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“…2 CQI continues to be a useful tool for bridging research evidence, direct service with patients, and population health outcomes. 3 This consideration of population health outcomes has extended CQI's practicality beyond clinical encounters and into the realm of public health.…”

mentioning

confidence: 99%

“…Medical errors and the resulting quality gap became a call to action for medical professionals to implement change, and CQI was a mechanism for doing so 2. CQI continues to be a useful tool for bridging research evidence, direct service with patients, and population health outcomes 3. This consideration of population health outcomes has extended CQI's practicality beyond clinical encounters and into the realm of public health.…”

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confidence: 99%

A Systematic Review of Approaches for Continuous Quality Improvement Capacity-Building

Loper

Jensen

Farley

et al. 2021

Journal of Public Health Management and Practice

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Context: Continuous quality improvement (CQI) has become prominent in public health settings; yet, little consolidated guidance exists for building CQI capacity of community-based organizations. Objective: To synthesize relevant literature to identify guiding principles and core components critical to building the capacity of organizations to adopt and use CQI. Design: We employed a systematic review approach to assess guiding principles and core components for CQI capacitybuilding as outlined in the literature. Eligibility Criteria: Studies meeting the following criteria were eligible for review: (1) empirical, peer-reviewed journal article, evaluation study, review, or systematic review; (2) published in 2010 or later; and (3) capacity-building activities were described in enough detail to be replicable. Studies not including human subjects, published in a language other than English, or for which full text was not available were excluded. Study Selection:The initial return of records included 6557 articles, of which 1455 were duplicates. The research team single-screened titles and abstracts of 5102 studies, resulting in the exclusion of 4842 studies. Two hundred sixty-two studies were double-screened during full-text review, yielding a final sample of 61 studies from which data were extracted. Main Outcome Measures: Outcome measures of interest were operationalized descriptions of guiding principles and core components of the CQI capacity-building approach. Results: Results yielded articles from medical education, health care, and public health settings. Findings included guiding principles and core components of CQI capacity-building identified in current practice, as well as infrastructural and contextual elements needed to build CQI capacity. Conclusions: This consolidation of guiding principles and core components for CQI capacity-building is valuable for public health and related workforces. Despite the uneven distribution of articles from health care, medical education, and public health settings, our findings can be used to guide public health organizations in building CQI capacity in a well-informed, systematic manner.

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“…44 CQI is a philosophy that motivates advancement in care using deliberate and defined processes, intending to improve health care and bridge gaps in evidence-based practice. 45 CQI is based on theories of improvement science and embodies 6 core principles: (1) focus on patientcentered outcomes, (2) evaluate organizational systems and processes, (3) utilize methodological or sequential problem-solving processes to identify and describe problems, (4) engage multiprofessional, management, and patient teams, (5) employ data collection and analysis, and (6) empower stakeholders to identify problems and solutions for improvement. 46 To transform and improve stroke care, best practice science should be easily disseminated, partnerships garnered between clinicians and patients, transparent data sharing, leadership dedicated to a culture of collaboration, and incentive alignment that motivates CQI.…”

Section: Cqi and Implementation Modelsmentioning

confidence: 99%

Improving Stroke Measure Compliance and Outcomes Through Hospital Collaboration

Moore

Summers

Wilson

2023

Stroke

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Globally, national stroke registries have been shown to improve the quality of patient care and outcomes. However, registry utilization and implementation vary by country. In the United States, stroke-specific performance measures must be met to achieve and maintain stroke center certification awarded by the state or nationally accredited certifying bodies. The 2 stroke registries available in the United States are the American Heart Association Get With The Guidelines-Stroke registry, which is voluntary, and the Paul Coverdell National Acute Stroke Registry, funded competitively to states by the Centers for Disease Control and Prevention. Compliance with stroke processes of care is variable, and quality improvement initiatives among organizations have been shown to have an impact on improving stroke care delivery. However, the effectiveness of interorganizational continuous quality improvement approaches, especially among competing institutions, to improving stroke care is ambiguous, and no uniform governance for successful interhospital collaboration has been identified. The purpose of this article is to review national initiatives focused on interorganizational collaboration to improve stroke care delivery with a focus on interhospital collaboration in the United States to improve stroke performance measures specific to stroke center certification. The state of Kentucky’s experience and utilization of the Institute for Healthcare Improvement Breakthrough Series model with key strategies for success will be discussed to serve as a foundation and empower novice stroke leaders in learning health systems. The models may be adapted internationally for application to stroke-specific care process improvement locally, regionally, and nationally; among organizations within the same health system or competing systems; and among organizations with funding or without funding to improve stroke performance measures.

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Editorial: Continuous Quality Improvement (CQI)—Advancing Understanding of Design, Application, Impact, and Evaluation of CQI Approaches

Cited by 11 publications

References 19 publications

Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

A Systematic Review of Approaches for Continuous Quality Improvement Capacity-Building

Improving Stroke Measure Compliance and Outcomes Through Hospital Collaboration

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