More Black Box to Explore: How Quality Improvement Collaboratives Shape Practice Change

Article Figures & Data

Download figure
Open in new tab
Figure 1.
Outline of Supporting Colorectal Cancer Outcomes through Participatory Enhancements (SCOPE) intervention. MAP, multimethod assessment process; RAP, reflective-adaptive process; QI, quality improvement; QIC, quality improvement collaborative.

Table 1. Details of Reflective Adaptive Process (RAP) Teams and Quality Improvement Collaboratives (QICs)

Practice ID	Members of RAP Team (n)	RAP Meetings (n)	Attended QIC 1	Attended QIC 2	QI Objectives/Plans
1	4	4	Physician^* Office manager^*	Physician^* Office manager^*	Improve communication in practice; improve documentation and coding for CRC screening
2	9	9	Physician Nurse^*	Physician (resident) Nurse^* Nurse	Improve patients' and providers' CRC education/awareness through, for example, “cancer awareness months” and training
3	5	10	Physician^* Office manager^* Nurse^*	Physician^* Office manager^* Nurse^*	Improve CRC documentation through use of EMRs and office systems
4	6	5	Office manager^* Nurse^* Nurse^*	Physician Office manager^* Nurse^* Nurse^* Nurse Nurse	Improve CRC documentation and chart organization; improve CRC education/awareness through “cancer awareness months”
5	5	9	Office manager Nurse^* Front office staff Front office staff	Physician Nurse^*	Patient and staff education; distribute CRC educational materials, use DVDs in waiting room, better counseling during visit

↵* The same practice representative attended both QICs.
CRC, colorectal cancer; EMR, electronic medical record; QIC, quality improvement collaboratives; QI, quality improvement.

Supporting Colorectal Cancer Outcomes through Participatory Enhancements (SCOPE) Quality Improvement Collaborative 1 Agenda

Time	Topic
8:30–9:00 am	Registration and Breakfast
9:00–9:15 am	Welcome and Introductions
9:15–10:00 am	Effecting Change in the Primary Care Setting
10:00–10:20 am	Comprehensive Cancer Screening in the Primary Care Context
10:20–10:35 am	Reflection and Questions
10:35–10:50 am	Break
10:50–11:10 am	Colon Cancer Screening: Guidelines and State of the Science
11:10–11:25 am	Reflection and Questions
11:25–11:45 am	A Cancer Survivor's Reflection on CRC and Cancer Survivorship
11:45–12:30 pm	Lunch
12:30–12:45 pm	“Practice Jazz”
12:45–1:15 pm	Educational Resources for Practices
1:15–2:15 pm	Next Steps
2:15–2:30 pm	Acknowledgements, Evaluations, and Closing

Supporting Colorectal Cancer Outcomes through Participatory Enhancements (SCOPE) Quality Improvement Collaborative 2 Agenda

Time	Topic
8:30 to 9:00 am	Registration and Breakfast
9:00 to 9:15 am	Welcome and Introductions
9:15 to 10:00 am	Stories from Practices
10:00 to 10:20 am	Cancer Survivorship
10:20 to 10:35 am	Reflection and Questions
10:35 to 10:50 am	Break
10:50 to 11:10 am	Individualized Practice Rates on Cancer Screening
11:10 to 11:30 am	Reflective Process and Questions
11:30 to 12:15 pm	Lunch
12:15 to 1:15 pm	Accomplishments and Challenges in Project SCOPE
1:15 to 1:30 pm	Break
1:30 to 2:00 pm	Team-building/Organizational Change
2:00 to 2:30 pm	Reflective Process and Questions
2:30 to 3:00 pm	Future Planning Development
3:00 to 3:15 pm	Acknowledgements, Evaluations, and Closing