Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support

Marjo J. Campmans-kuijpers, C.A. Baan, Lidwien C. Lemmens, Guy E. Rutten

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective 
To assess the change in level of diabetes quality management in primary care groups and outpatient clinics after feedback and tailored support.
Research design and methods
This before-and-after study with a 1-year follow-up surveyed quality managers on six domains of quality management. Questionnaires measured organization of care, multidisciplinary teamwork, patient centeredness, performance results, quality improvement policy, and management strategies (score range 0–100%). Based on the scores, responders received feedback and a benchmark and were granted access to a toolbox of quality improvement instruments. If requested, additional support in improving quality management was available, consisting of an elucidating phone call or a visit from an experienced consultant. After 1 year, the level of quality management was measured again.
Results
Of the initially 60 participating care groups, 51 completed the study. The total quality management score improved from 59.8% (95% CI 57.0–62.6%) to 65.1% (62.8–67.5%; P < 0.0001). The same applied to all six domains. The feedback and benchmark improved the total quality management score (P = 0.001). Of the 44 participating outpatient clinics, 28 completed the study. Their total score changed from 65.7% (CI 60.3–71.1%) to 67.3% (CI 62.9–71.7%; P = 0.30). Only the results in the domain multidisciplinary teamwork improved (P = 0.001).
Conclusions
Measuring quality management and providing feedback and a benchmark improves the level of quality management in care groups but not in outpatient clinics. The questionnaires might also be a useful asset for other diabetes care groups, such as Accountable Care Organizations.
Original languageEnglish
Pages (from-to)285-292
JournalDiabetes Care: The Journal of Clinical and Applied Research and Education
Volume38
Issue number2
DOIs
Publication statusPublished - 2015

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Ambulatory Care Facilities
Benchmarking
Total Quality Management
Consultants
Organizations
Surveys and Questionnaires

Cite this

@article{1305424b48624ce895786fc2b5cf73d3,
title = "Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support",
abstract = "Objective To assess the change in level of diabetes quality management in primary care groups and outpatient clinics after feedback and tailored support.Research design and methodsThis before-and-after study with a 1-year follow-up surveyed quality managers on six domains of quality management. Questionnaires measured organization of care, multidisciplinary teamwork, patient centeredness, performance results, quality improvement policy, and management strategies (score range 0–100{\%}). Based on the scores, responders received feedback and a benchmark and were granted access to a toolbox of quality improvement instruments. If requested, additional support in improving quality management was available, consisting of an elucidating phone call or a visit from an experienced consultant. After 1 year, the level of quality management was measured again.ResultsOf the initially 60 participating care groups, 51 completed the study. The total quality management score improved from 59.8{\%} (95{\%} CI 57.0–62.6{\%}) to 65.1{\%} (62.8–67.5{\%}; P < 0.0001). The same applied to all six domains. The feedback and benchmark improved the total quality management score (P = 0.001). Of the 44 participating outpatient clinics, 28 completed the study. Their total score changed from 65.7{\%} (CI 60.3–71.1{\%}) to 67.3{\%} (CI 62.9–71.7{\%}; P = 0.30). Only the results in the domain multidisciplinary teamwork improved (P = 0.001).ConclusionsMeasuring quality management and providing feedback and a benchmark improves the level of quality management in care groups but not in outpatient clinics. The questionnaires might also be a useful asset for other diabetes care groups, such as Accountable Care Organizations.",
author = "Campmans-kuijpers, {Marjo J.} and C.A. Baan and Lemmens, {Lidwien C.} and Rutten, {Guy E.}",
year = "2015",
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language = "English",
volume = "38",
pages = "285--292",
journal = "Diabetes Care: The Journal of Clinical and Applied Research and Education",
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Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support. / Campmans-kuijpers, Marjo J.; Baan, C.A.; Lemmens, Lidwien C.; Rutten, Guy E.

In: Diabetes Care: The Journal of Clinical and Applied Research and Education, Vol. 38, No. 2, 2015, p. 285-292.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support

AU - Campmans-kuijpers, Marjo J.

AU - Baan, C.A.

AU - Lemmens, Lidwien C.

AU - Rutten, Guy E.

PY - 2015

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N2 - Objective To assess the change in level of diabetes quality management in primary care groups and outpatient clinics after feedback and tailored support.Research design and methodsThis before-and-after study with a 1-year follow-up surveyed quality managers on six domains of quality management. Questionnaires measured organization of care, multidisciplinary teamwork, patient centeredness, performance results, quality improvement policy, and management strategies (score range 0–100%). Based on the scores, responders received feedback and a benchmark and were granted access to a toolbox of quality improvement instruments. If requested, additional support in improving quality management was available, consisting of an elucidating phone call or a visit from an experienced consultant. After 1 year, the level of quality management was measured again.ResultsOf the initially 60 participating care groups, 51 completed the study. The total quality management score improved from 59.8% (95% CI 57.0–62.6%) to 65.1% (62.8–67.5%; P < 0.0001). The same applied to all six domains. The feedback and benchmark improved the total quality management score (P = 0.001). Of the 44 participating outpatient clinics, 28 completed the study. Their total score changed from 65.7% (CI 60.3–71.1%) to 67.3% (CI 62.9–71.7%; P = 0.30). Only the results in the domain multidisciplinary teamwork improved (P = 0.001).ConclusionsMeasuring quality management and providing feedback and a benchmark improves the level of quality management in care groups but not in outpatient clinics. The questionnaires might also be a useful asset for other diabetes care groups, such as Accountable Care Organizations.

AB - Objective To assess the change in level of diabetes quality management in primary care groups and outpatient clinics after feedback and tailored support.Research design and methodsThis before-and-after study with a 1-year follow-up surveyed quality managers on six domains of quality management. Questionnaires measured organization of care, multidisciplinary teamwork, patient centeredness, performance results, quality improvement policy, and management strategies (score range 0–100%). Based on the scores, responders received feedback and a benchmark and were granted access to a toolbox of quality improvement instruments. If requested, additional support in improving quality management was available, consisting of an elucidating phone call or a visit from an experienced consultant. After 1 year, the level of quality management was measured again.ResultsOf the initially 60 participating care groups, 51 completed the study. The total quality management score improved from 59.8% (95% CI 57.0–62.6%) to 65.1% (62.8–67.5%; P < 0.0001). The same applied to all six domains. The feedback and benchmark improved the total quality management score (P = 0.001). Of the 44 participating outpatient clinics, 28 completed the study. Their total score changed from 65.7% (CI 60.3–71.1%) to 67.3% (CI 62.9–71.7%; P = 0.30). Only the results in the domain multidisciplinary teamwork improved (P = 0.001).ConclusionsMeasuring quality management and providing feedback and a benchmark improves the level of quality management in care groups but not in outpatient clinics. The questionnaires might also be a useful asset for other diabetes care groups, such as Accountable Care Organizations.

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EP - 292

JO - Diabetes Care: The Journal of Clinical and Applied Research and Education

JF - Diabetes Care: The Journal of Clinical and Applied Research and Education

SN - 0149-5992

IS - 2

ER -