•Health Care Organization

KEY ACTIONS FOR THE HEALTH CARE ORGANIZATION

  • Visible support improvement at all levels of the organization, beginning with senior leadership;
  • Promote effective quality improvement strategies aimed at comprehensive system change;
  • Encourage open and systematic handling of errors and quality problems to improve care;
  • Provide incentives (financial or otherwise) based on quality of care;
  • Develop agreements that facilitate coordination within and across different treatment settings and levels of care.

EXAMPLES OF EFFECTIVE INTERVENTIONS

  • Structuring monitoring of risk factors and prescribing (Buckley)
  • Ambulatory comprehensive care programs (De Bruin)
  • Use of the Chronic Care Model as a framework for interventions aiming to improve asthma therapy adherence (Moullec)
  • Interventions focused on specific risk factor or functional difficulties for people with multiple chronic conditions (Smith)
  • Financial incentives in particular the modality of group level financial incentives (Petersen, Scott)
  • Multifaceted professional interventions (Renders)
  • Enhancing performance of health professionals (Renders)
  • Hypertension care quality improvement strategy involving physicians and other team members (Walsh)

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