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Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals
The use of external facilitation within the context of multicomponent quality improvement interventions (mQI) is growing. We aimed to evaluate the influence of external facilitation for improving the quality of acute stroke care. Clinicians from hospitals participating in mQI (Queensland, Australia)...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471416/ https://www.ncbi.nlm.nih.gov/pubmed/34574869 http://dx.doi.org/10.3390/healthcare9091095 |
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author | Thayabaranathan, Tharshanah Andrew, Nadine E. Grimley, Rohan Stroil-Salama, Enna Grabsch, Brenda Hill, Kelvin Cadigan, Greg Purvis, Tara Middleton, Sandy Kilkenny, Monique F. Cadilhac, Dominique A. |
author_facet | Thayabaranathan, Tharshanah Andrew, Nadine E. Grimley, Rohan Stroil-Salama, Enna Grabsch, Brenda Hill, Kelvin Cadigan, Greg Purvis, Tara Middleton, Sandy Kilkenny, Monique F. Cadilhac, Dominique A. |
author_sort | Thayabaranathan, Tharshanah |
collection | PubMed |
description | The use of external facilitation within the context of multicomponent quality improvement interventions (mQI) is growing. We aimed to evaluate the influence of external facilitation for improving the quality of acute stroke care. Clinicians from hospitals participating in mQI (Queensland, Australia) as part of the Stroke123 study were supported by external facilitators in a single, on-site workshop to review hospital performance against eight clinical processes of care (PoCs) collected in the Australian Stroke Clinical Registry (AuSCR) and develop an action plan. Remote support (i.e., telephone/email) after the workshop was provided. As part of a process evaluation for Stroke123, we recorded the number and mode of contacts between clinicians and facilitators; type of support provided; and frequency of self-directed, hospital-level stroke registry data reviews. Analysis: We measured the association between amount/type of external facilitation, (i) development of action plans, and (ii) adherence to PoCs before and after the intervention using AuSCR data from 2010 to 2015. In total, 14/19 hospitals developed an action plan. There was no significant difference in amount or type of external facilitator support provided between hospitals that did, and did not, develop an action plan. There was no relationship between the amount of external facilitation and change in adherence to PoCs. Most (95%) hospitals accessed stroke registry performance data. In the Stroke123 study, the amount or type of external facilitation did not influence action plan development, and the amount of support did not influence the changes achieved in adherence to PoCs. Remote support may not add value for mQI. |
format | Online Article Text |
id | pubmed-8471416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84714162021-09-27 Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals Thayabaranathan, Tharshanah Andrew, Nadine E. Grimley, Rohan Stroil-Salama, Enna Grabsch, Brenda Hill, Kelvin Cadigan, Greg Purvis, Tara Middleton, Sandy Kilkenny, Monique F. Cadilhac, Dominique A. Healthcare (Basel) Article The use of external facilitation within the context of multicomponent quality improvement interventions (mQI) is growing. We aimed to evaluate the influence of external facilitation for improving the quality of acute stroke care. Clinicians from hospitals participating in mQI (Queensland, Australia) as part of the Stroke123 study were supported by external facilitators in a single, on-site workshop to review hospital performance against eight clinical processes of care (PoCs) collected in the Australian Stroke Clinical Registry (AuSCR) and develop an action plan. Remote support (i.e., telephone/email) after the workshop was provided. As part of a process evaluation for Stroke123, we recorded the number and mode of contacts between clinicians and facilitators; type of support provided; and frequency of self-directed, hospital-level stroke registry data reviews. Analysis: We measured the association between amount/type of external facilitation, (i) development of action plans, and (ii) adherence to PoCs before and after the intervention using AuSCR data from 2010 to 2015. In total, 14/19 hospitals developed an action plan. There was no significant difference in amount or type of external facilitator support provided between hospitals that did, and did not, develop an action plan. There was no relationship between the amount of external facilitation and change in adherence to PoCs. Most (95%) hospitals accessed stroke registry performance data. In the Stroke123 study, the amount or type of external facilitation did not influence action plan development, and the amount of support did not influence the changes achieved in adherence to PoCs. Remote support may not add value for mQI. MDPI 2021-08-25 /pmc/articles/PMC8471416/ /pubmed/34574869 http://dx.doi.org/10.3390/healthcare9091095 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Thayabaranathan, Tharshanah Andrew, Nadine E. Grimley, Rohan Stroil-Salama, Enna Grabsch, Brenda Hill, Kelvin Cadigan, Greg Purvis, Tara Middleton, Sandy Kilkenny, Monique F. Cadilhac, Dominique A. Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title | Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title_full | Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title_fullStr | Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title_full_unstemmed | Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title_short | Understanding the Role of External Facilitation to Drive Quality Improvement for Stroke Care in Hospitals |
title_sort | understanding the role of external facilitation to drive quality improvement for stroke care in hospitals |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8471416/ https://www.ncbi.nlm.nih.gov/pubmed/34574869 http://dx.doi.org/10.3390/healthcare9091095 |
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