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Research ArticleOriginal Research

How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?

Deborah J. Cohen, Bijal A. Balasubramanian, Stephan Lindner, William L. Miller, Shannon M. Sweeney, Jennifer D. Hall, Rikki Ward, Miguel Marino, Rachel Springer, K. John McConnell, Jennifer R. Hemler, Sarah S. Ono, David Ezekiel-Herrera, Andrea Baron, Benjamin F. Crabtree and Leif I. Solberg
The Journal of the American Board of Family Medicine September 2022, jabfm.2022.AP.220088; DOI: https://doi.org/10.3122/jabfm.2022.AP.220088
Deborah J. Cohen
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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Bijal A. Balasubramanian
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MBBS, PhD
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Stephan Lindner
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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William L. Miller
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MD, MA
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Shannon M. Sweeney
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD, MPH
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Jennifer D. Hall
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MPH
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Rikki Ward
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MPH
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Miguel Marino
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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Rachel Springer
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MS
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K. John McConnell
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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Jennifer R. Hemler
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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Sarah S. Ono
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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David Ezekiel-Herrera
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MS
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Andrea Baron
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MPH
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Benjamin F. Crabtree
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
PhD
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Leif I. Solberg
From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
MD
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Article Information

jabfm.2022.AP.220088
DOI 
https://doi.org/10.3122/jabfm.2022.AP.220088
PubMed 
36113993

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication March 2, 2022
  • Revision received June 21, 2022
  • Accepted for publication June 23, 2022
  • Published online September 16, 2022.

Copyright & Usage 
© Copyright by the American Board of Family Medicine.

Author Information

  1. Deborah J. Cohen, PhD,
  2. Bijal A. Balasubramanian, MBBS, PhD,
  3. Stephan Lindner, PhD,
  4. William L. Miller, MD, MA,
  5. Shannon M. Sweeney, PhD, MPH,
  6. Jennifer D. Hall, MPH,
  7. Rikki Ward, MPH,
  8. Miguel Marino, PhD,
  9. Rachel Springer, MS,
  10. K. John McConnell, PhD,
  11. Jennifer R. Hemler, PhD,
  12. Sarah S. Ono, PhD,
  13. David Ezekiel-Herrera, MS,
  14. Andrea Baron, MPH,
  15. Benjamin F. Crabtree, PhD and
  16. Leif I. Solberg, MD
  1. From Department of Family Medicine and Department of Medical and Clinical Epidemiology, Oregon Health & Science University, Portland, OR (DJC); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB, RW); Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR (SL, KJM); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Family Medicine, Oregon Health & Science University Portland, OR (SMS, JDH, MM, RS, DE-H, AB); Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (JRH, BFC); Department of Psychiatry and Department of Family Medicine, Oregon Health & Science University Portland, OR; VHA Office of Rural Health, Department of Veterans Affairs and VA Portland Health Care System, Portland, OR (SSO); HealthPartners Institute, Minneapolis MN (LIS).
  1. Corresponding author: Deborah J. Cohen, PhD, 3181 SW Sam Jackson Park Road, FM, Portland, OR 97239 (E-mail: cohendj{at}ohsu.edu).
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The Journal of the American Board of Family     Medicine: 38 (1)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 1
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How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?
Deborah J. Cohen, Bijal A. Balasubramanian, Stephan Lindner, William L. Miller, Shannon M. Sweeney, Jennifer D. Hall, Rikki Ward, Miguel Marino, Rachel Springer, K. John McConnell, Jennifer R. Hemler, Sarah S. Ono, David Ezekiel-Herrera, Andrea Baron, Benjamin F. Crabtree, Leif I. Solberg
The Journal of the American Board of Family Medicine Sep 2022, jabfm.2022.AP.220088; DOI: 10.3122/jabfm.2022.AP.220088

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How Does Prior Experience Pay Off in Large-Scale Quality Improvement Initiatives?
Deborah J. Cohen, Bijal A. Balasubramanian, Stephan Lindner, William L. Miller, Shannon M. Sweeney, Jennifer D. Hall, Rikki Ward, Miguel Marino, Rachel Springer, K. John McConnell, Jennifer R. Hemler, Sarah S. Ono, David Ezekiel-Herrera, Andrea Baron, Benjamin F. Crabtree, Leif I. Solberg
The Journal of the American Board of Family Medicine Sep 2022, jabfm.2022.AP.220088; DOI: 10.3122/jabfm.2022.AP.220088
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