Process evaluation of a data-driven quality improvement program within a cluster randomised controlled trial to improve coronary heart disease management in Australian primary care.

Hafiz, N; Hyun, K; Tu, Q; Knight, A; Hespe, C; Chow, CK; Briffa, T; Gallagher, R; Reid, CM; Hare, DL; Zwar, N; Woodward, M; Jan, S; Atkins, ER; Laba, T-L; Halcomb, E; Johnson, T; Manandi, D; Usherwood, T; Redfern, J

Process evaluation of a data-driven quality improvement program within a cluster randomised controlled trial to improve coronary heart disease management in Australian primary care.

Hafiz, N Hyun, K Tu, Q Knight, A Hespe, C Chow, CK Briffa, T Gallagher, R Reid, CM Hare, DL Zwar, N Woodward, M Jan, S Atkins, ER Laba, T-L Halcomb, E Johnson, T Manandi, D Usherwood, T Redfern, J

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Publisher:: PUBLIC LIBRARY SCIENCE
Publication Type:: Journal Article
Citation:: PLoS One, 2024, 19, (6), pp. e0298777
Issue Date:: 2024

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Field	Value	Language
dc.contributor.author	Hafiz, N
dc.contributor.author	Hyun, K
dc.contributor.author	Tu, Q
dc.contributor.author	Knight, A
dc.contributor.author	Hespe, C
dc.contributor.author	Chow, CK
dc.contributor.author	Briffa, T
dc.contributor.author	Gallagher, R
dc.contributor.author	Reid, CM
dc.contributor.author	Hare, DL
dc.contributor.author	Zwar, N
dc.contributor.author	Woodward, M
dc.contributor.author	Jan, S
dc.contributor.author	Atkins, ER
dc.contributor.author	Laba, T-L
dc.contributor.author	Halcomb, E
dc.contributor.author	Johnson, T
dc.contributor.author	Manandi, D
dc.contributor.author	Usherwood, T
dc.contributor.author	Redfern, J
dc.contributor.editor	Haldorai, A
dc.date.accessioned	2024-10-09T01:04:18Z
dc.date.available	2024-01-30
dc.date.available	2024-10-09T01:04:18Z
dc.date.issued	2024
dc.identifier.citation	PLoS One, 2024, 19, (6), pp. e0298777
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/181280
dc.description.abstract	BACKGROUND: This study evaluates primary care practices' engagement with various features of a quality improvement (QI) intervention for patients with coronary heart disease (CHD) in four Australian states. METHODS: Twenty-seven practices participated in the QI intervention from November 2019 -November 2020. A combination of surveys, semi-structured interviews and other materials within the QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living with heart disease (QUEL) study were used in the process evaluation. Data were summarised using descriptive statistical and thematic analyses for 26 practices. RESULTS: Sixty-four practice team members and Primary Health Networks staff provided feedback, and nine of the 63 participants participated in the interviews. Seventy-eight percent (40/54) were either general practitioners or practice managers. Although 69% of the practices self-reported improvement in their management of heart disease, engagement with the intervention varied. Forty-two percent (11/26) of the practices attended five or more learning workshops, 69% (18/26) used Plan-Do-Study-Act cycles, and the median (Interquartile intervals) visits per practice to the online SharePoint site were 170 (146-252) visits. Qualitative data identified learning workshops and monthly feedback reports as the key features of the intervention. CONCLUSION: Practice engagement in a multi-featured data-driven QI intervention was common, with learning workshops and monthly feedback reports identified as the most useful features. A better understanding of these features will help influence future implementation of similar interventions. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR) number ACTRN12619001790134.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	PUBLIC LIBRARY SCIENCE
dc.relation.ispartof	PLoS One
dc.relation.isbasedon	10.1371/journal.pone.0298777
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Australia
dc.subject.mesh	Coronary Disease
dc.subject.mesh	Disease Management
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Humans
dc.subject.mesh	Coronary Disease
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Disease Management
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Australia
dc.subject.mesh	Coronary Disease
dc.subject.mesh	Disease Management
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Quality Improvement
dc.title	Process evaluation of a data-driven quality improvement program within a cluster randomised controlled trial to improve coronary heart disease management in Australian primary care.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Economics Research and Evaluation (CHERE)
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Economics Research and Evaluation (CHERE)/Centre for Health Economics Research and Evaluation (CHERE) Associate Member
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-10-09T01:04:11Z
pubs.issue	6
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	6

Abstract:

BACKGROUND: This study evaluates primary care practices' engagement with various features of a quality improvement (QI) intervention for patients with coronary heart disease (CHD) in four Australian states. METHODS: Twenty-seven practices participated in the QI intervention from November 2019 -November 2020. A combination of surveys, semi-structured interviews and other materials within the QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living with heart disease (QUEL) study were used in the process evaluation. Data were summarised using descriptive statistical and thematic analyses for 26 practices. RESULTS: Sixty-four practice team members and Primary Health Networks staff provided feedback, and nine of the 63 participants participated in the interviews. Seventy-eight percent (40/54) were either general practitioners or practice managers. Although 69% of the practices self-reported improvement in their management of heart disease, engagement with the intervention varied. Forty-two percent (11/26) of the practices attended five or more learning workshops, 69% (18/26) used Plan-Do-Study-Act cycles, and the median (Interquartile intervals) visits per practice to the online SharePoint site were 170 (146-252) visits. Qualitative data identified learning workshops and monthly feedback reports as the key features of the intervention. CONCLUSION: Practice engagement in a multi-featured data-driven QI intervention was common, with learning workshops and monthly feedback reports identified as the most useful features. A better understanding of these features will help influence future implementation of similar interventions. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR) number ACTRN12619001790134.

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http://hdl.handle.net/10453/181280