Key Themes and Representative Quotes on Recommendations for Improving the Feasibility or Attractiveness of QI Projects
| Theme | Representative Quotes |
|---|---|
| External QI projects are not well situated to address the staffing and time deficiencies within primary care practices (primary theme) | “It’s not fair for you to think there’s something that you could have done differently.” “There is not anything that could have changed regarding the program that would have allowed us to participate with the already maxed resources, as serving patients and their needs is our top priority.” |
| There are strategies that QI project planners can use to facilitate the recruitment of primary care practices (secondary theme) | “Helping them build the team to do this work. Not counting on the primary care provider being the driver of this bus but wrapping that provider with—is it a care manager, is it a social worker, is it some other care team participant—who can take on some of this work?” “Maybe tailoring the programs based on regionality or rurality of the organization…having the ability to send people out, coming face to face and actually participating in those meetings and maybe leading some of these meetings that will be meaningful rather than a WebEx.” “I used to get 15-20 e-mails a day and now get 50 or more a day. But I just delete most of my e-mails. Bang, bang, bang, bang. Maybe sending a formal letter of some kind would get my attention better.” “It’s always good to hear or talk to someone who’s [already] gone through it.” |
| Compensation may facilitate enrollment in QI projects for some practices; however, for most practices, it would not have made a difference (secondary theme) | “I don’t know if I can give you a number right now, but it would really have to be enough to compensate for the amount of time that I was going to put into it as well as our clinical staff and our data team.” “I don’t know. For us, I don’t think [compensation] would have made any difference at all. That’s not why we were really interested in doing it.” |
QI = quality improvement.