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Table 2 EBQI-PCMH fidelity for participating primary care practice sites

From: Assessing fidelity to evidence-based quality improvement as an implementation strategy for patient-centered medical home transformation in the Veterans Health Administration

 

Phase 1 (87 meetings, 7 conferences)

Phase 2 (60 meetings, 5 conferences)

Phase 3 (18 meetings, 1 conference)

 

Site A

Site B

Site C

Site D

Site E

Site F

Site G*

Site H

Site I

Leadership and frontlines (e.g., top-down, bottom-up) priority-setting process for focusing QI efforts

 Sum number QI projects proposed + approved

High

High

High

High

Med

Med

Med

Low

Low

Ongoing technical expertise and coaching/mentoring in QI methods by health services researchers, delivered through a QI collaborative

 Bi-weekly QI collaborative calls with representation

Med

Med

High

Low

Med

High

Med

None

None

 Number of representatives attending learning sessions

High

High

High

Med

High

Med

None

Med

Med

Use of data and evidence to inform QI efforts

 Reported using evidence/data to ID problem and track progress

High

Med

Med

Low

High

High

Low

Low

Low

EBQI-PCMH change mechanism: implementation and spread of locally developed and initiated QI projects

 Number of final reports + toolkits completed

High

High

High

Med

Med

Med

Med

None

None

  1. *Site G did not begin participating in EBQI-PACT until January 2014, after the last collaborative conference (Sept 2013)