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- Title
Measuring the Dose of Quality Improvement Initiatives.
- Authors
McHugh, Megan; Harvey, Jillian B.; Kang, Raymond; Shi, Yunfeng; Scanlon, Dennis P.
- Abstract
Although intervention dose-defined as the quality and quantity of an intervention and participation-might be key to understanding why some multisite quality improvement (QI) initiatives work and others do not, evaluations rarely consider dose, and there is no widely accepted method for measuring it. In this exploratory study, the authors examined the literature on QI dose, identified four methods for measuring QI dose, applied them to 14 communities participating in a QI initiative, examined whether the dose scores aligned with perceptions of QI dose among individuals knowledgeable of the initiative, and report on lessons learned. They conclude it is feasible to measure QI dose and found a high level of concordance between scores on a comprehensive dose measure and knowledgeable informants' perceptions. However, measuring QI dose presents many challenges, including subjective decisions about the elements of dose to include in a measure and the need for extensive data collection.
- Subjects
QUALITY control; ACQUISITION of data; SENSORY perception; MEASUREMENT; EVALUATION; QUALITY assurance standards; CLINICAL medicine; COMPARATIVE studies; RESEARCH methodology; MEDICAL quality control; MEDICAL cooperation; QUALITY assurance; RESEARCH; EVALUATION research; KEY performance indicators (Management); EVALUATION of human services programs
- Publication
Medical Care Research & Review, 2016, Vol 73, Issue 2, p227
- ISSN
1077-5587
- Publication type
journal article
- DOI
10.1177/1077558715603567