Performance Improvement 2005. Evaluating the Effectiveness of a Web-based Quality of CARE Improvement System


Health care providers’ receipt of feedback on their clinical practices, coupled with training on clinical guidelines, has been shown to improve quality of care delivered. ID Web is facility-based and individualized feedback to Indian Health Service (IHS) clinicians and administrators on 13 clinical care indicators, as well as web-based training on clinical guidelines and facility-specific caseload information. Specifically, ID Web indicators provide information on clinical care related to sexually transmitted infections, including HIV and hepatitis B diagnoses. The purpose of this evaluation was to assess the use and effectiveness of ID Web in the four IHS health care facilities in which it was piloted. This project described factors that facilitated or prevented use of ID Web, factors associated with the adoption of system-level or provider-level changes to improve quality of care, and the association between such changes and actual improvement in quality of care, as measured by ID Web indicator values before and after ID Web was “launched” by the local champion. Overall, it was found that providers had many concerns regarding the use of ID Web. Recommendations centered on what would increase the use and usefulness of ID Web from the provider’s perspective.

PIC ID: 7989; Agency Sponsor: CDC, Centers for Disease Control; Federal Contact: Bertolli, Jeanne, 404-639-8500; Performer: RTI International, Research Triangle Park, NC

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