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Am J Prev Med. 2007 Dec;33(6):492-7.

Improving delivery of clinical preventive services: a multi-year journey.

Author information

  • 1Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas 75206, USA. dj.ballard@baylorhealth.edu

Abstract

BACKGROUND:

Adults in the United States typically do not receive all recommended clinical preventive services (CPS) for which they are eligible, missing opportunities for prevention and/or early detection. A multi-year quality improvement initiative targeting CPS delivery in a fee-for-service ambulatory care network is described.

METHODS:

Since 1999, HealthTexas Provider Network (HTPN) has implemented multiple initiatives to increase CPS delivery, including a flowsheet, a physician champion model, physician- and practice-level audit and feedback, and rapid-cycle quality improvement training.

RESULTS:

From 2000 to 2006, "recommended or done" CPS delivery increased from 68% to 92%, and "done" from 70% to 86% (2001 to 2006). "Perfect care" composite performance increased from 0.19 to 0.51 (2001 to 2006).

CONCLUSIONS:

Long-term, multistrategy approaches can achieve substantial sustained improvement in CPS delivery throughout a large ambulatory care provider network.

PMID:
18022066
[PubMed - indexed for MEDLINE]
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