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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)...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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