What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams

M.M. van Engen-Verheul; N. Peek; J.A Haafkens; E. Joukes; T. Vromen; M.W.M. Jaspers; N.F. de Keizer

doi:https://doi.org/10.1016/j.ijmedinf.2016.10.003

What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams

M.M. van Engen-Verheul, N. Peek, J.A Haafkens, E. Joukes, T. Vromen, M.W.M. Jaspers, N.F. de Keizer

Research output: Contribution to journal › Article › Academic › peer-review

10 Citations (Scopus)

Abstract

INTRODUCTION: Evidence on successful quality improvement (QI) in health care requires quantitative information from randomized clinical trials (RCTs) on the effectiveness of QI interventions, but also qualitative information from professionals to understand factors influencing QI implementation.

OBJECTIVE: Using a structured qualitative approach, concept mapping, this study determines factors identified by cardiac rehabilitation (CR) teams on what is needed to successfully implement a web-based audit and feedback (A&F) intervention with outreach visits to improve the quality of CR care.

METHODS: Participants included 49 CR professionals from 18 Dutch CR centres who had worked with the A&F system during a RCT. In three focus group sessions participants formulated statements on factors needed to implement QI successfully. Subsequently, participants rated all statements for importance and feasibility and grouped them thematically. Multi dimensional scaling was used to produce a final concept map.

RESULTS: Forty-two unique statements were formulated and grouped into five thematic clusters in the concept map. The cluster with the highest importance was QI team commitment, followed by organisational readiness, presence of an adequate A&F system, access to an external quality assessor, and future use and functionalities of the A&F system.

CONCLUSION: Concept mapping appeared efficient and useful to understand contextual factors influencing QI implementation as perceived by healthcare teams. While presence of a web-based A&F system and external quality assessor were seen as instrumental for gaining insight into performance and formulating QI actions, QI team commitment and organisational readiness were perceived as essential to actually implement and carry out these actions. These two sociotechnical factors should be taken into account when implementing and evaluating the success of QI implementations in future research.

Original language	English
Pages (from-to)	76-85
Number of pages	10
Journal	International Journal of Medical Informatics
Volume	97
Early online date	4 Oct 2016
DOIs	https://doi.org/10.1016/j.ijmedinf.2016.10.003
Publication status	Published - Jan 2017

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https://pure.uva.nl/ws/files/16200587/What_is_needed_to_implement_a_web_based_audit_and_feedback.pdf

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van Engen-Verheul, M. M., Peek, N., Haafkens, J. A., Joukes, E., Vromen, T., Jaspers, M. W. M., & de Keizer, N. F. (2017). What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams. International Journal of Medical Informatics, 97, 76-85. Advance online publication. https://doi.org/10.1016/j.ijmedinf.2016.10.003

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title = "What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams",

abstract = "INTRODUCTION: Evidence on successful quality improvement (QI) in health care requires quantitative information from randomized clinical trials (RCTs) on the effectiveness of QI interventions, but also qualitative information from professionals to understand factors influencing QI implementation.OBJECTIVE: Using a structured qualitative approach, concept mapping, this study determines factors identified by cardiac rehabilitation (CR) teams on what is needed to successfully implement a web-based audit and feedback (A&F) intervention with outreach visits to improve the quality of CR care.METHODS: Participants included 49 CR professionals from 18 Dutch CR centres who had worked with the A&F system during a RCT. In three focus group sessions participants formulated statements on factors needed to implement QI successfully. Subsequently, participants rated all statements for importance and feasibility and grouped them thematically. Multi dimensional scaling was used to produce a final concept map.RESULTS: Forty-two unique statements were formulated and grouped into five thematic clusters in the concept map. The cluster with the highest importance was QI team commitment, followed by organisational readiness, presence of an adequate A&F system, access to an external quality assessor, and future use and functionalities of the A&F system.CONCLUSION: Concept mapping appeared efficient and useful to understand contextual factors influencing QI implementation as perceived by healthcare teams. While presence of a web-based A&F system and external quality assessor were seen as instrumental for gaining insight into performance and formulating QI actions, QI team commitment and organisational readiness were perceived as essential to actually implement and carry out these actions. These two sociotechnical factors should be taken into account when implementing and evaluating the success of QI implementations in future research.",

author = "{van Engen-Verheul}, M.M. and N. Peek and J.A Haafkens and E. Joukes and T. Vromen and M.W.M. Jaspers and {de Keizer}, N.F.",

year = "2017",

month = jan,

doi = "https://doi.org/10.1016/j.ijmedinf.2016.10.003",

language = "English",

volume = "97",

pages = "76--85",

journal = "International Journal of Medical Informatics",

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van Engen-Verheul, MM, Peek, N, Haafkens, JA, Joukes, E, Vromen, T, Jaspers, MWM & de Keizer, NF 2017, 'What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams', International Journal of Medical Informatics, vol. 97, pp. 76-85. https://doi.org/10.1016/j.ijmedinf.2016.10.003

What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams. / van Engen-Verheul, M.M.; Peek, N.; Haafkens, J.A et al.
In: International Journal of Medical Informatics, Vol. 97, 01.2017, p. 76-85.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality

T2 - A concept mapping study among cardiac rehabilitation teams

AU - van Engen-Verheul, M.M.

AU - Peek, N.

AU - Haafkens, J.A

AU - Joukes, E.

AU - Vromen, T.

AU - Jaspers, M.W.M.

AU - de Keizer, N.F.

PY - 2017/1

Y1 - 2017/1

N2 - INTRODUCTION: Evidence on successful quality improvement (QI) in health care requires quantitative information from randomized clinical trials (RCTs) on the effectiveness of QI interventions, but also qualitative information from professionals to understand factors influencing QI implementation.OBJECTIVE: Using a structured qualitative approach, concept mapping, this study determines factors identified by cardiac rehabilitation (CR) teams on what is needed to successfully implement a web-based audit and feedback (A&F) intervention with outreach visits to improve the quality of CR care.METHODS: Participants included 49 CR professionals from 18 Dutch CR centres who had worked with the A&F system during a RCT. In three focus group sessions participants formulated statements on factors needed to implement QI successfully. Subsequently, participants rated all statements for importance and feasibility and grouped them thematically. Multi dimensional scaling was used to produce a final concept map.RESULTS: Forty-two unique statements were formulated and grouped into five thematic clusters in the concept map. The cluster with the highest importance was QI team commitment, followed by organisational readiness, presence of an adequate A&F system, access to an external quality assessor, and future use and functionalities of the A&F system.CONCLUSION: Concept mapping appeared efficient and useful to understand contextual factors influencing QI implementation as perceived by healthcare teams. While presence of a web-based A&F system and external quality assessor were seen as instrumental for gaining insight into performance and formulating QI actions, QI team commitment and organisational readiness were perceived as essential to actually implement and carry out these actions. These two sociotechnical factors should be taken into account when implementing and evaluating the success of QI implementations in future research.

AB - INTRODUCTION: Evidence on successful quality improvement (QI) in health care requires quantitative information from randomized clinical trials (RCTs) on the effectiveness of QI interventions, but also qualitative information from professionals to understand factors influencing QI implementation.OBJECTIVE: Using a structured qualitative approach, concept mapping, this study determines factors identified by cardiac rehabilitation (CR) teams on what is needed to successfully implement a web-based audit and feedback (A&F) intervention with outreach visits to improve the quality of CR care.METHODS: Participants included 49 CR professionals from 18 Dutch CR centres who had worked with the A&F system during a RCT. In three focus group sessions participants formulated statements on factors needed to implement QI successfully. Subsequently, participants rated all statements for importance and feasibility and grouped them thematically. Multi dimensional scaling was used to produce a final concept map.RESULTS: Forty-two unique statements were formulated and grouped into five thematic clusters in the concept map. The cluster with the highest importance was QI team commitment, followed by organisational readiness, presence of an adequate A&F system, access to an external quality assessor, and future use and functionalities of the A&F system.CONCLUSION: Concept mapping appeared efficient and useful to understand contextual factors influencing QI implementation as perceived by healthcare teams. While presence of a web-based A&F system and external quality assessor were seen as instrumental for gaining insight into performance and formulating QI actions, QI team commitment and organisational readiness were perceived as essential to actually implement and carry out these actions. These two sociotechnical factors should be taken into account when implementing and evaluating the success of QI implementations in future research.

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DO - https://doi.org/10.1016/j.ijmedinf.2016.10.003

M3 - Article

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van Engen-Verheul MM, Peek N, Haafkens JA, Joukes E, Vromen T, Jaspers MWM et al. What is needed to implement a web-based audit and feedback intervention with outreach visits to improve care quality: A concept mapping study among cardiac rehabilitation teams. International Journal of Medical Informatics. 2017 Jan;97:76-85. Epub 2016 Oct 4. doi: https://doi.org/10.1016/j.ijmedinf.2016.10.003