Implementation and Evaluation of Audit and Feedback for Monitoring Treat-to-Target (T2T) Strategies in Rheumatoid Arthri
- PDF / 428,999 Bytes
- 17 Pages / 595.276 x 790.866 pts Page_size
- 48 Downloads / 157 Views
ORIGINAL RESEARCH
Implementation and Evaluation of Audit and Feedback for Monitoring Treat-to-Target (T2T) Strategies in Rheumatoid Arthritis Using Performance Measures Claire E. H. Barber
. Dianne Mosher . Shawn Dowling . Victoria Bohm . Nathan M. Solbak .
Paul MacMullan . Bo Pan . Cheryl Barnabe . Glen S. Hazlewood . Karen L. Then . Deborah A. Marshall . James A. Rankin . Linda C. Li . Karen Tsui . Kelly English . Joanne Homik . Nicole Spencer . Marc Hall . Diane Lacaille
Received: August 13, 2020 / Accepted: September 16, 2020 The Author(s) 2020
ABSTRACT Introduction: In collaboration with the Alberta Medical Association’s Physician Learning Program we developed individualized physician reports and held a group feedback session on rheumatoid arthritis (RA) performance measures (PM) to facilitate treat-to-target (T2T) strategies and evaluated physician experiences with this process.
Electronic Supplementary Material The online version of this article (https://doi.org/10.1007/s40744020-00237-0) contains supplementary material, which is available to authorized users. C. E. H. Barber (&) D. Mosher S. Dowling V. Bohm N. M. Solbak P. MacMullan C. Barnabe G. S. Hazlewood D. A. Marshall N. Spencer Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada e-mail: [email protected] C. E. H. Barber C. Barnabe G. S. Hazlewood D. A. Marshall Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada C. E. H. Barber C. Barnabe G. S. Hazlewood D. A. Marshall L. C. Li D. Lacaille Arthritis Research Canada, Richmond, BC, Canada
Methods: 5 PMs addressing T2T concepts from an established Canadian quality framework were operationalized for physician practice reports at 2 university-affiliated rheumatology clinics. Rheum4U, a quality improvement and research platform, was the data source. The audit results were reviewed in a facilitated group feedback session. Rheumatologists provided experiential feedback on the process through survey and/or an interview. Transcripts from interviews were analyzed using a 6-step thematic analysis. Results: 11 of 12 eligible rheumatologists consented to receive practice reports and provided feedback through surveys (n = 5) and interviews (n = 6). The practice reports from Rheum4U B. Pan Epidemiology Coordinating and Research Centre (EPICORE), Edmonton, AB, Canada K. L. Then J. A. Rankin M. Hall Faculty of Nursing, University of Calgary, Calgary, AB, Canada L. C. Li Department of Physical Therapy, University of British Columbia, Vancouver, Canada K. Tsui K. English Arthritis Patient Advisory Board, Richmond, BC, Canada
Rheumatol Ther
(n = 448 patients) revealed high rates of yearly follow-up ([ 85%, PM1) and 100% performance on documentation of disease activity at C 50% of visits (PM2). Only 34% of patients were seen within 3 months if not in remission (PM3) with 62% (2017) and 69% (2018) of those with active RA achieving a LDA state within 6 months (PM4). Ap
Data Loading...
