The role of organizational learning and resilience for change in building quality improvement capacity in primary care

Background The extent that organizational learning and resilience for the change process, that is, adaptive reserve (AR), is a component of building practice capacity for continuous quality improvement (QI) is unknown. Purpose The aim of the study was to examine the association of AR and development of QI capacity. Methodology One hundred forty-two primary care practices were evaluated at baseline and 12 months in a randomized trial to improve care quality. Practice AR was measured by staff survey along with a validated QI capacity assessment (QICA). We assessed the association of baseline QICA with baseline AR and both baseline and change in AR with change in QICA from 0 to 12 months. Effect modification by presence of QI infrastructure in parent organizations and trial arm was examined. Results Mean QICA increased from 6.5 to 8.1 (p
Source: Health Care Management Review - Category: American Health Tags: Online Only Source Type: research