Sustaining quality improvement in community health centers: perceptions of leaders and staff

doi:10.1097/01.JAC.0000336551.67922.2f

. 2008 Oct-Dec;31(4):319-29.

doi: 10.1097/01.JAC.0000336551.67922.2f.

Sustaining quality improvement in community health centers: perceptions of leaders and staff

Marshall H Chin¹, Anne C Kirchhoff, Amy E Schlotthauer, Jessica E Graber, Sydney E S Brown, Ann Rimington, Melinda L Drum, Cynthia T Schaefer, Loretta J Heuer, Elbert S Huang, Morgan E Shook, Hui Tang, Lawrence P Casalino

Affiliations

PMID: 18806592
PMCID: PMC2659650
DOI: 10.1097/01.JAC.0000336551.67922.2f

Sustaining quality improvement in community health centers: perceptions of leaders and staff

Marshall H Chin et al. J Ambul Care Manage. 2008 Oct-Dec.

. 2008 Oct-Dec;31(4):319-29.

doi: 10.1097/01.JAC.0000336551.67922.2f.

Authors

Affiliation

¹ Section of General Internal Medicine, Department of Medicine, The University of Chicago, IL 60637, USA. mchin@medicine.bsd.uchicago.edu

PMID: 18806592
PMCID: PMC2659650
DOI: 10.1097/01.JAC.0000336551.67922.2f

Abstract

The Health Disparities Collaboratives are the largest national quality improvement (QI) initiatives in community health centers. This article identifies the incentives and assistance personnel believe are necessary to sustain QI. In 2004, 1006 survey respondents (response rate 67%) at 165 centers cited lack of resources, time, and staff burnout as common barriers. Release time was the most desired personal incentive. The highest funding priorities were direct patient care services (44% ranked no. 1), data entry (34%), and staff time for QI (26%). Participants also needed help with patient self-management (73%), information systems (77%), and getting providers to follow guidelines (64%).

PubMed Disclaimer

Cited by

Perspectives of hospital pharmacists on quality improvement initiatives in patient care: A pilot study from one healthcare system in Canada.
Lee DH, Cheng TA, Au C, Lau T, Dahri K. Lee DH, et al. Explor Res Clin Soc Pharm. 2023 Mar 22;9:100249. doi: 10.1016/j.rcsop.2023.100249. eCollection 2023 Mar. Explor Res Clin Soc Pharm. 2023. PMID: 37025942 Free PMC article.
Factors Associated With Medical Staff's Engagement and Perception of a Quality Improvement Program for Acute Coronary Syndromes in Hospitals: A Nationally Representative Mixed-Methods Study in China.
Zhou S, Jin Y, Ma J, Dong X, Li N, Shi H, Zhang Y, Guan X, LaBresh KA, Smith SC Jr, Huo Y, Zheng ZJ. Zhou S, et al. J Am Heart Assoc. 2022 Apr 5;11(7):e024845. doi: 10.1161/JAHA.121.024845. Epub 2022 Mar 30. J Am Heart Assoc. 2022. PMID: 35352565 Free PMC article.
Elements of Integrated Behavioral Health Associated with Primary Care Provider Confidence in Managing Depression at Community Health Centers.
Staab EM, Wan W, Campbell A, Gedeon S, Schaefer C, Quinn MT, Laiteerapong N. Staab EM, et al. J Gen Intern Med. 2022 Sep;37(12):2931-2940. doi: 10.1007/s11606-021-07294-3. Epub 2022 Jan 3. J Gen Intern Med. 2022. PMID: 34981360 Free PMC article.
Integration of Diabetes and Depression Care Is Associated with Glucose Control in Midwestern Federally Qualified Health Centers.
Laiteerapong N, Staab EM, Wan W, Quinn MT, Campbell A, Gedeon S, Schaefer CT, Burnet DL, Chin MH. Laiteerapong N, et al. J Gen Intern Med. 2021 Apr;36(4):978-984. doi: 10.1007/s11606-020-06585-5. Epub 2021 Jan 25. J Gen Intern Med. 2021. PMID: 33492584 Free PMC article.
Trends in Costs of Care and Utilization for Medicaid Patients With Diabetes in Accountable Care Communities.
Moin T, Harwood JM, Mangione CM, Jackson N, Ho S, Ettner SL, Duru OK. Moin T, et al. Med Care. 2020 Jun;58 Suppl 6 Suppl 1(Suppl 6 1):S40-S45. doi: 10.1097/MLR.0000000000001318. Med Care. 2020. PMID: 32412952 Free PMC article.

See all "Cited by" articles

References

1. Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–1136. - PubMed
1. Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, Volk L, Spurr C, Khorasani R, Tanasijevic M, Middleton B. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10(6):523–30. - PMC - PubMed
1. Cheung K, Moiduddin A, Chin MH, Drum ML, Brown SES, Graber JE, Heuer L, Quinn MT, Schaefer CT, Walters AE, Huang ES. The perceived financial impact of quality improvement efforts in community health centers. J Amb Care Manage. 2008;31(2):111–119. - PMC - PubMed
1. Chien AT, Walters AE, Chin MH. Community health center quality improvement: a systematic review and future directions for research. Progress in Community Health Partnerships: Research, Education, and Action. 2007;1(1):105–116. - PubMed
1. Chin MH, Chien AT. Reducing racial and ethnic disparities in health care is an integral part of quality improvement scholarship. Qual Safety Health Care. 2006;15(2):79–80. - PMC - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources

[1] Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–1136. - PubMed

[2] Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–1136. - PubMed

[3] Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, Volk L, Spurr C, Khorasani R, Tanasijevic M, Middleton B. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10(6):523–30. - PMC - PubMed

[4] Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, Volk L, Spurr C, Khorasani R, Tanasijevic M, Middleton B. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10(6):523–30. - PMC - PubMed

[5] Cheung K, Moiduddin A, Chin MH, Drum ML, Brown SES, Graber JE, Heuer L, Quinn MT, Schaefer CT, Walters AE, Huang ES. The perceived financial impact of quality improvement efforts in community health centers. J Amb Care Manage. 2008;31(2):111–119. - PMC - PubMed

[6] Cheung K, Moiduddin A, Chin MH, Drum ML, Brown SES, Graber JE, Heuer L, Quinn MT, Schaefer CT, Walters AE, Huang ES. The perceived financial impact of quality improvement efforts in community health centers. J Amb Care Manage. 2008;31(2):111–119. - PMC - PubMed

[7] Chien AT, Walters AE, Chin MH. Community health center quality improvement: a systematic review and future directions for research. Progress in Community Health Partnerships: Research, Education, and Action. 2007;1(1):105–116. - PubMed

[8] Chien AT, Walters AE, Chin MH. Community health center quality improvement: a systematic review and future directions for research. Progress in Community Health Partnerships: Research, Education, and Action. 2007;1(1):105–116. - PubMed

[9] Chin MH, Chien AT. Reducing racial and ethnic disparities in health care is an integral part of quality improvement scholarship. Qual Safety Health Care. 2006;15(2):79–80. - PMC - PubMed

[10] Chin MH, Chien AT. Reducing racial and ethnic disparities in health care is an integral part of quality improvement scholarship. Qual Safety Health Care. 2006;15(2):79–80. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Sustaining quality improvement in community health centers: perceptions of leaders and staff

Affiliation

Sustaining quality improvement in community health centers: perceptions of leaders and staff

Authors

Affiliation

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources