TY - JOUR
T1 - Meeting Quality Measures for Adolescent Preventive Care
T2 - Assessing the Perspectives of Key Stakeholders
AU - Parasuraman, Sarika Rane
AU - Johnson, Sarah Lindstrom
AU - Magnusson, Dawn
AU - King, Tracy
N1 - Funding Information:
Funding. The research was funded by the US Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) under HRSA Grant number T32HP10004 (Ruth L. Kirschstein National Research Service Award Institutional Research Training Grant) awarded to Johns Hopkins University.
Funding Information:
Funding. The research was funded by the US Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) under HRSA Grant number T32HP10004 (Ruth L. Kirschstein National Research Service Award Institutional Research Training Grant) awarded to Johns Hopkins University.
Funding Information:
Disclaimer. The article was not funded by the US government. The views expressed in this publication are solely the opinions of the authors and do not necessarily reflect the official policies of HHS, HRSA, or the National Institutes of Health, nor does mention of the department or agency names imply endorsement by the US government.
Publisher Copyright:
© 2017
PY - 2018/3
Y1 - 2018/3
N2 - Background: Health plans are increasingly implementing quality improvement strategies aimed at meeting adolescent clinical quality measures, yet clinics often struggle to meet these measures. This qualitative study was conducted to explore how efforts to meet the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) performance measure for adolescent well-care visits were perceived by a multidisciplinary group of stakeholders. Methods: The research team conducted 26 in-depth, semistructured interviews with participants from three stakeholder groups: clinic staff with direct patient contact, health care institutional leaders, and representatives of a payer organization. Interviews were about 45 minutes in duration, audio-recorded, and professionally transcribed. Framework analysis was used to identify and organize emergent themes, and Atlas.ti was used to facilitate data management and analysis. Results: Stakeholder groups diverged in their opinions regarding strategies for achieving adolescent quality measures. Stakeholders with no direct patient interaction touted transactional quality improvement strategies that directly incentivized patients and families. In contrast, clinic staff with direct patient contact believed that incentive-based efforts undermined patient-provider relationships and the clinics’ focus on wellness. Conclusion: A considerable disconnect exists between stakeholders with and without patient contact with regard to approaches to the delivery of well care and quality improvement strategies for meeting the adolescent well-care visit performance measure. Efforts to reconcile discordant perspectives and promote a mutual understanding between payers, institutional leaders, and clinic staff could inform the development of creative initiatives that are sustainable and effective at achieving adolescent and family engagement, as well as clinical performance benchmarks.
AB - Background: Health plans are increasingly implementing quality improvement strategies aimed at meeting adolescent clinical quality measures, yet clinics often struggle to meet these measures. This qualitative study was conducted to explore how efforts to meet the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) performance measure for adolescent well-care visits were perceived by a multidisciplinary group of stakeholders. Methods: The research team conducted 26 in-depth, semistructured interviews with participants from three stakeholder groups: clinic staff with direct patient contact, health care institutional leaders, and representatives of a payer organization. Interviews were about 45 minutes in duration, audio-recorded, and professionally transcribed. Framework analysis was used to identify and organize emergent themes, and Atlas.ti was used to facilitate data management and analysis. Results: Stakeholder groups diverged in their opinions regarding strategies for achieving adolescent quality measures. Stakeholders with no direct patient interaction touted transactional quality improvement strategies that directly incentivized patients and families. In contrast, clinic staff with direct patient contact believed that incentive-based efforts undermined patient-provider relationships and the clinics’ focus on wellness. Conclusion: A considerable disconnect exists between stakeholders with and without patient contact with regard to approaches to the delivery of well care and quality improvement strategies for meeting the adolescent well-care visit performance measure. Efforts to reconcile discordant perspectives and promote a mutual understanding between payers, institutional leaders, and clinic staff could inform the development of creative initiatives that are sustainable and effective at achieving adolescent and family engagement, as well as clinical performance benchmarks.
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U2 - 10.1016/j.jcjq.2017.07.008
DO - 10.1016/j.jcjq.2017.07.008
M3 - Article
C2 - 29499811
AN - SCOPUS:85041561401
SN - 1553-7250
VL - 44
SP - 146
EP - 154
JO - Joint Commission Journal on Quality and Patient Safety
JF - Joint Commission Journal on Quality and Patient Safety
IS - 3
ER -