Evaluation of clinical quality improvement interventions: feasibility of an integrated approach

Reddy, Sandeep, Mc Namara, Kevin, Malakellis, Mary, Denton, Tim, McDonald, Cathy, Opie, Jane, Sanigorski, Andrew and Versace, Vincent 2019, Evaluation of clinical quality improvement interventions: feasibility of an integrated approach, Pilot and feasibility studies, vol. 5, pp. 1-9, doi: 10.1186/s40814-018-0386-1.

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Title Evaluation of clinical quality improvement interventions: feasibility of an integrated approach
Author(s) Reddy, SandeepORCID iD for Reddy, Sandeep orcid.org/0000-0002-5824-4900
Mc Namara, KevinORCID iD for Mc Namara, Kevin orcid.org/0000-0001-6547-9153
Malakellis, MaryORCID iD for Malakellis, Mary orcid.org/0000-0003-2063-2040
Denton, Tim
McDonald, Cathy
Opie, Jane
Sanigorski, AndrewORCID iD for Sanigorski, Andrew orcid.org/0000-0002-2858-4621
Versace, VincentORCID iD for Versace, Vincent orcid.org/0000-0002-8514-1763
Journal name Pilot and feasibility studies
Volume number 5
Article ID 4
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019
Keyword(s) Cardiovascular disease
Primary care
Quality improvement intervention
Evaluation
Integrated model of evaluation
Summary Background
Cardiovascular diseases (CVD) are the largest cause of death and disability in Australia. Australian national guidelines for the primary prevention of CVD recommend that all adults without CVD and aged 45 years or more are screened for their absolute risk of CVD every 2 years. Despite the compelling evidence to address CVD risk, treatment gaps remain and evidence suggests that much of the shortcomings are attributed to the performance of primary care practices. To address this issue, a quality improvement initiative is being implemented in a large urban multidisciplinary primary care practice in the South West region of Victoria, Australia. The key outcome of this intervention will be to increase the use and acceptability of CVD risk assessment guidelines. To ensure the intervention is tracking toward its objectives, a robust monitoring and evaluation framework was established.

Method/design
A novel framework that assimilates key traditional and theory-driven evaluation practices was developed to assess the impact of the intervention. The framework approach is termed the integrated model of evaluation (IMoE). Researchers and stakeholders convened several times to discuss and develop the evaluation protocol and align it with the quality intervention. The main objective here is to explore the feasibility of an integrated approach to evaluating clinical quality improvement interventions. The sub-objectives are to test the alignment of the IMoE to clinical quality improvement projects and its ability to derive findings to the satisfaction of stakeholders. The design and establishment of the evaluation approach is discussed in further detail in this article.

Discussion
The novel feature of the IMoE is its emphasis on tracking ‘change’ in practices that lead to quality improvement. This emphasis suits the quality improvement theme of this initiative as identification of change elements and explanation behind change is necessary to sustain and promote quality improvement. The other principle behind development of this model, which emphasises practicality in implementation, is to ensure stakeholders gain greatest value from the commissioning of program evaluation. By incorporating practical components and leaving out esoteric concepts, this approach ensures evaluation can be undertaken in realistic timeframes.

Ethics approval
The quality improvement intervention and evaluation framework received approval from the Deakin University Human Research Ethics Committee (Approval Number: 2017-313).
Language eng
DOI 10.1186/s40814-018-0386-1
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Author(s)
Persistent URL http://hdl.handle.net/10536/DRO/DU:30116621

Document type: Journal Article
Collections: School of Medicine
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