What influences participation in QI? A randomized trial of addiction treatment organizations

Kyle L. Grazier, Andrew R. Quanbeck, John Oruongo, James Robinson, James H. Ford, Dennis McCarty, Alice Pulvermacher, Roberta A. Johnson, David H. Gustafson

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Healthcare providers have increased the use of quality improvement (QI) techniques, but organizational variables that affect QI uptake and implementation warrant further exploration. This study investigates organizational characteristics associated with clinics that enroll and participate over time in QI. The Network for the Improvement of Addiction Treatment (NIATx) conducted a large cluster-randomized trial of outpatient addiction treatment clinics, called NIATx 200, which randomized clinics to one of four QI implementation strategies: (1) interest circle calls, (2) coaching, (3) learning sessions, and (4) the combination of all three components. Data on organizational culture and structure were collected before, after randomization, and during the 18-month intervention. Using univariate descriptive analyses and regression techniques, the study identified two significant differences between clinics that enrolled in the QI study (n = 201) versus those that did not (n = 447). Larger programs were more likely to enroll and clinics serving more African Americans were less likely to enroll. Once enrolled, higher rates of QI participation were associated with clinics' not having a hospital affiliation, being privately owned, and having staff who perceived management support for QI. The study discusses lessons for the field and future research needs.

Original languageEnglish (US)
Pages (from-to)342-353
Number of pages12
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Volume37
Issue number6
StatePublished - 2015

Fingerprint

Quality Improvement
Organizations
Therapeutics
Organizational Culture
Random Allocation
African Americans
Health Personnel
Outpatients
Regression Analysis
Learning

Keywords

  • Characteristics
  • Organizational
  • Organizational culture
  • Process improvement
  • QI
  • Randomized trial

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

What influences participation in QI? A randomized trial of addiction treatment organizations. / Grazier, Kyle L.; Quanbeck, Andrew R.; Oruongo, John; Robinson, James; Ford, James H.; McCarty, Dennis; Pulvermacher, Alice; Johnson, Roberta A.; Gustafson, David H.

In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality, Vol. 37, No. 6, 2015, p. 342-353.

Research output: Contribution to journalArticle

Grazier, KL, Quanbeck, AR, Oruongo, J, Robinson, J, Ford, JH, McCarty, D, Pulvermacher, A, Johnson, RA & Gustafson, DH 2015, 'What influences participation in QI? A randomized trial of addiction treatment organizations', Journal for healthcare quality : official publication of the National Association for Healthcare Quality, vol. 37, no. 6, pp. 342-353.
Grazier, Kyle L. ; Quanbeck, Andrew R. ; Oruongo, John ; Robinson, James ; Ford, James H. ; McCarty, Dennis ; Pulvermacher, Alice ; Johnson, Roberta A. ; Gustafson, David H. / What influences participation in QI? A randomized trial of addiction treatment organizations. In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2015 ; Vol. 37, No. 6. pp. 342-353.
@article{f29bca53bd4f4e2795aa2e4d7df66452,
title = "What influences participation in QI? A randomized trial of addiction treatment organizations",
abstract = "Healthcare providers have increased the use of quality improvement (QI) techniques, but organizational variables that affect QI uptake and implementation warrant further exploration. This study investigates organizational characteristics associated with clinics that enroll and participate over time in QI. The Network for the Improvement of Addiction Treatment (NIATx) conducted a large cluster-randomized trial of outpatient addiction treatment clinics, called NIATx 200, which randomized clinics to one of four QI implementation strategies: (1) interest circle calls, (2) coaching, (3) learning sessions, and (4) the combination of all three components. Data on organizational culture and structure were collected before, after randomization, and during the 18-month intervention. Using univariate descriptive analyses and regression techniques, the study identified two significant differences between clinics that enrolled in the QI study (n = 201) versus those that did not (n = 447). Larger programs were more likely to enroll and clinics serving more African Americans were less likely to enroll. Once enrolled, higher rates of QI participation were associated with clinics' not having a hospital affiliation, being privately owned, and having staff who perceived management support for QI. The study discusses lessons for the field and future research needs.",
keywords = "Characteristics, Organizational, Organizational culture, Process improvement, QI, Randomized trial",
author = "Grazier, {Kyle L.} and Quanbeck, {Andrew R.} and John Oruongo and James Robinson and Ford, {James H.} and Dennis McCarty and Alice Pulvermacher and Johnson, {Roberta A.} and Gustafson, {David H.}",
year = "2015",
language = "English (US)",
volume = "37",
pages = "342--353",
journal = "Journal for healthcare quality : official publication of the National Association for Healthcare Quality",
issn = "1062-2551",
publisher = "National Association for Healthcare Quality",
number = "6",

}

TY - JOUR

T1 - What influences participation in QI? A randomized trial of addiction treatment organizations

AU - Grazier, Kyle L.

AU - Quanbeck, Andrew R.

AU - Oruongo, John

AU - Robinson, James

AU - Ford, James H.

AU - McCarty, Dennis

AU - Pulvermacher, Alice

AU - Johnson, Roberta A.

AU - Gustafson, David H.

PY - 2015

Y1 - 2015

N2 - Healthcare providers have increased the use of quality improvement (QI) techniques, but organizational variables that affect QI uptake and implementation warrant further exploration. This study investigates organizational characteristics associated with clinics that enroll and participate over time in QI. The Network for the Improvement of Addiction Treatment (NIATx) conducted a large cluster-randomized trial of outpatient addiction treatment clinics, called NIATx 200, which randomized clinics to one of four QI implementation strategies: (1) interest circle calls, (2) coaching, (3) learning sessions, and (4) the combination of all three components. Data on organizational culture and structure were collected before, after randomization, and during the 18-month intervention. Using univariate descriptive analyses and regression techniques, the study identified two significant differences between clinics that enrolled in the QI study (n = 201) versus those that did not (n = 447). Larger programs were more likely to enroll and clinics serving more African Americans were less likely to enroll. Once enrolled, higher rates of QI participation were associated with clinics' not having a hospital affiliation, being privately owned, and having staff who perceived management support for QI. The study discusses lessons for the field and future research needs.

AB - Healthcare providers have increased the use of quality improvement (QI) techniques, but organizational variables that affect QI uptake and implementation warrant further exploration. This study investigates organizational characteristics associated with clinics that enroll and participate over time in QI. The Network for the Improvement of Addiction Treatment (NIATx) conducted a large cluster-randomized trial of outpatient addiction treatment clinics, called NIATx 200, which randomized clinics to one of four QI implementation strategies: (1) interest circle calls, (2) coaching, (3) learning sessions, and (4) the combination of all three components. Data on organizational culture and structure were collected before, after randomization, and during the 18-month intervention. Using univariate descriptive analyses and regression techniques, the study identified two significant differences between clinics that enrolled in the QI study (n = 201) versus those that did not (n = 447). Larger programs were more likely to enroll and clinics serving more African Americans were less likely to enroll. Once enrolled, higher rates of QI participation were associated with clinics' not having a hospital affiliation, being privately owned, and having staff who perceived management support for QI. The study discusses lessons for the field and future research needs.

KW - Characteristics

KW - Organizational

KW - Organizational culture

KW - Process improvement

KW - QI

KW - Randomized trial

UR - http://www.scopus.com/inward/record.url?scp=84974727416&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84974727416&partnerID=8YFLogxK

M3 - Article

VL - 37

SP - 342

EP - 353

JO - Journal for healthcare quality : official publication of the National Association for Healthcare Quality

JF - Journal for healthcare quality : official publication of the National Association for Healthcare Quality

SN - 1062-2551

IS - 6

ER -