TY - JOUR
T1 - What is the experience of national quality campaigns? Views from the field
AU - Bradley, Elizabeth H.
AU - Nembhard, Ingrid M.
AU - Yuan, Christina T.
AU - Stern, Amy F.
AU - Curtis, Jeptha P.
AU - Nallamothu, Brahmajee K.
AU - Brush, John E.
AU - Krumholz, Harlan M.
PY - 2010/12
Y1 - 2010/12
N2 - Objective. To identify key characteristics of a national quality campaign that participants viewed as effective, to understand mechanisms by which the campaign influenced hospital practices, and to elucidate contextual factors that modified the perceived influence of the campaign on hospital improvements. Data Sources. In-depth interviews, hospital surveys, and Health Quality Alliance data. Study Design. We conducted a qualitative study using in-depth interviews with clinical and administrative staff (N=99) at hospitals reporting strong influence (n=6) as well as hospitals reporting limited influence (n=6) of the Door-to-Balloon (D2B) Alliance, a national quality campaign to improve heart attack care. We analyzed these qualitative data as well as changes in hospital use of recommended strategies reported through a hospital survey and changes in treatment times using Health Quality Alliance data. Data Collection Methods. In-depth, open-ended interviews; hospital survey. Principal Findings. Key characteristics of the national quality campaign viewed as enhancing its effectiveness were as follows: credibility of the recommendations, perceived simplicity of the recommendations, alignment with hospitals' strategic goals, practical implementation tools, and breadth of the network of peer hospitals in the D2B Alliance. Perceived mechanisms of the campaign's influence included raising awareness and influencing goals, fostering strategy adoption, and influencing aspects of organizational culture. Modifying contextual factors included perceptions about current performance and internal championship for the recommended changes. Conclusions. The impact of national quality campaigns may depend on both campaign design features and on the internal environment of participating hospitals.
AB - Objective. To identify key characteristics of a national quality campaign that participants viewed as effective, to understand mechanisms by which the campaign influenced hospital practices, and to elucidate contextual factors that modified the perceived influence of the campaign on hospital improvements. Data Sources. In-depth interviews, hospital surveys, and Health Quality Alliance data. Study Design. We conducted a qualitative study using in-depth interviews with clinical and administrative staff (N=99) at hospitals reporting strong influence (n=6) as well as hospitals reporting limited influence (n=6) of the Door-to-Balloon (D2B) Alliance, a national quality campaign to improve heart attack care. We analyzed these qualitative data as well as changes in hospital use of recommended strategies reported through a hospital survey and changes in treatment times using Health Quality Alliance data. Data Collection Methods. In-depth, open-ended interviews; hospital survey. Principal Findings. Key characteristics of the national quality campaign viewed as enhancing its effectiveness were as follows: credibility of the recommendations, perceived simplicity of the recommendations, alignment with hospitals' strategic goals, practical implementation tools, and breadth of the network of peer hospitals in the D2B Alliance. Perceived mechanisms of the campaign's influence included raising awareness and influencing goals, fostering strategy adoption, and influencing aspects of organizational culture. Modifying contextual factors included perceptions about current performance and internal championship for the recommended changes. Conclusions. The impact of national quality campaigns may depend on both campaign design features and on the internal environment of participating hospitals.
KW - Quality improvement
KW - acute myocardial infarction
KW - campaigns
KW - hospitals
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U2 - 10.1111/j.1475-6773.2010.01151.x
DO - 10.1111/j.1475-6773.2010.01151.x
M3 - Article
C2 - 20698898
AN - SCOPUS:77957550399
SN - 0017-9124
VL - 45
SP - 1651
EP - 1669
JO - Health services research
JF - Health services research
IS - 6 PART 1
ER -