Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services
Abstract Background The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organizations over the last decade. However, despite its widespread use, few p...
Main Authors: | , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-08-01
|
Series: | BMC Health Services Research |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12913-021-06839-w |
id |
doaj-871fe587a3944b7885d80bc2e8d03ca5 |
---|---|
record_format |
Article |
spelling |
doaj-871fe587a3944b7885d80bc2e8d03ca52021-08-15T11:09:43ZengBMCBMC Health Services Research1472-69632021-08-012111910.1186/s12913-021-06839-wInterprofessional advanced access – a quality improvement protocol for expanding access to primary care servicesIsabelle Gaboury0Mylaine Breton1Kathy Perreault2François Bordeleau3Sarah Descôteaux4Lara Maillet5Catherine Hudon6Yves Couturier7Arnaud Duhoux8Brigitte Vachon9Benoit Cossette10Isabel Rodrigues11Marie-Eve Poitras12Christine Loignon13Helen-Maria Vasiliadis14Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeDepartment of community health sciences, Faculty of Medicine and Health Sciences, Université de SherbrookeGMF-U Saint-Jean-sur-RichelieuDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeÉcole Nationale d’Administration PubliqueDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeSchool of social work, Faculty of letters and social sciences, Université de SherbrookeFaculty of Nursing, Université de MontréalSchool of Rehabilitation, Faculty of Medicine, Université de MontréalDepartment of community health sciences, Faculty of Medicine and Health Sciences, Université de SherbrookeDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de MontréalDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de SherbrookeDepartment of community health sciences, Faculty of Medicine and Health Sciences, Université de SherbrookeAbstract Background The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organizations over the last decade. However, despite its widespread use, few professionals other than physicians and nurse practitioners have implemented the model. Among those who have integrated it to their practice, a wide variation in the level of implementation is observed, suggesting a need to support primary care teams in continuous improvement with AA implementation. This quality improvement research project aims to document and measure the processes and effects of practice facilitation, to implement and improve AA within interprofessional teams. Methods Five primary care teams at various levels of organizational AA implementation will take part in a quality improvement process. These teams will be followed independently over PDSA (Plan-Do-Study-Act) cycles for 18 months. Each team is responsible for setting their own objectives for improvement with respect to AA. The evaluation process consists of a mixed-methods plan, including semi-structured interviews with key members of the clinical and management teams, patient experience survey and AA-related metrics monitored from Electronic Medical Records over time. Discussion Most theories on organizational change indicate that practice facilitation should enable involvement of stakeholders in the process of change and enable improved interprofessional collaboration through a team-based approach. Improving access to primary care services is one of the top priorities of the Quebec’s ministry of health and social services. This study will identify key barriers to quality improvement initiatives within primary care and help to develop successful strategies to help teams improve and broaden implementation of AA to other primary care professionals.https://doi.org/10.1186/s12913-021-06839-wAdvanced AccessPrimary careQuality improvementPractice facilitationInterprofessional collaborationOrganizational change |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Isabelle Gaboury Mylaine Breton Kathy Perreault François Bordeleau Sarah Descôteaux Lara Maillet Catherine Hudon Yves Couturier Arnaud Duhoux Brigitte Vachon Benoit Cossette Isabel Rodrigues Marie-Eve Poitras Christine Loignon Helen-Maria Vasiliadis |
spellingShingle |
Isabelle Gaboury Mylaine Breton Kathy Perreault François Bordeleau Sarah Descôteaux Lara Maillet Catherine Hudon Yves Couturier Arnaud Duhoux Brigitte Vachon Benoit Cossette Isabel Rodrigues Marie-Eve Poitras Christine Loignon Helen-Maria Vasiliadis Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services BMC Health Services Research Advanced Access Primary care Quality improvement Practice facilitation Interprofessional collaboration Organizational change |
author_facet |
Isabelle Gaboury Mylaine Breton Kathy Perreault François Bordeleau Sarah Descôteaux Lara Maillet Catherine Hudon Yves Couturier Arnaud Duhoux Brigitte Vachon Benoit Cossette Isabel Rodrigues Marie-Eve Poitras Christine Loignon Helen-Maria Vasiliadis |
author_sort |
Isabelle Gaboury |
title |
Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
title_short |
Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
title_full |
Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
title_fullStr |
Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
title_full_unstemmed |
Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
title_sort |
interprofessional advanced access – a quality improvement protocol for expanding access to primary care services |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2021-08-01 |
description |
Abstract Background The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organizations over the last decade. However, despite its widespread use, few professionals other than physicians and nurse practitioners have implemented the model. Among those who have integrated it to their practice, a wide variation in the level of implementation is observed, suggesting a need to support primary care teams in continuous improvement with AA implementation. This quality improvement research project aims to document and measure the processes and effects of practice facilitation, to implement and improve AA within interprofessional teams. Methods Five primary care teams at various levels of organizational AA implementation will take part in a quality improvement process. These teams will be followed independently over PDSA (Plan-Do-Study-Act) cycles for 18 months. Each team is responsible for setting their own objectives for improvement with respect to AA. The evaluation process consists of a mixed-methods plan, including semi-structured interviews with key members of the clinical and management teams, patient experience survey and AA-related metrics monitored from Electronic Medical Records over time. Discussion Most theories on organizational change indicate that practice facilitation should enable involvement of stakeholders in the process of change and enable improved interprofessional collaboration through a team-based approach. Improving access to primary care services is one of the top priorities of the Quebec’s ministry of health and social services. This study will identify key barriers to quality improvement initiatives within primary care and help to develop successful strategies to help teams improve and broaden implementation of AA to other primary care professionals. |
topic |
Advanced Access Primary care Quality improvement Practice facilitation Interprofessional collaboration Organizational change |
url |
https://doi.org/10.1186/s12913-021-06839-w |
work_keys_str_mv |
AT isabellegaboury interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT mylainebreton interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT kathyperreault interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT francoisbordeleau interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT sarahdescoteaux interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT laramaillet interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT catherinehudon interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT yvescouturier interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT arnaudduhoux interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT brigittevachon interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT benoitcossette interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT isabelrodrigues interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT marieevepoitras interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT christineloignon interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices AT helenmariavasiliadis interprofessionaladvancedaccessaqualityimprovementprotocolforexpandingaccesstoprimarycareservices |
_version_ |
1721207099389640704 |