Implementing Continuous Quality Improvement in an Integrated Community Urology Practice: Lessons Learned

Franklin Gaylis*, Ryan Nasseri, Amirali Salmasi, Christopher Anderson, Sarah Mohedin, Rose Prime, Sadie Swift, Paul Dato, Edward Cohen, William Catalona, Robert Topp, Lawrence Friedman, Christopher Kane

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: To determine the effectiveness of 2 different continuous quality improvement interventions in an integrated community urology practice. We specifically assessed the impact of audited physician feedback on improving physicians’ adoption of active surveillance for low-risk prostate cancer (CaP) and adherence to a prostate biopsy time-out intervention. Materials and Methods: The electronic medical records of Genesis Healthcare Partners were analyzed between August 24, 2011 and September 30, 2020 to evaluate the performance of 2 quality interventions: audited physician feedback to improve active surveillance adoption in low-risk CaP patients, and audited physician feedback to promote adherence to an electronic medical records embedded prostate biopsy time-out template. Physician and Genesis Healthcare Partners group adherence to each quality initiative was compared before and after each intervention type using ANOVA testing. Results: For active surveillance, we consistently saw an increase in active surveillance adoption for low risk CaP patients in association with continuous audited feedback (P < .001). Adherence to the prostate biopsy time-out template improved when audited feedback was provided (P < .001). Conclusion: The implementation of clinical guidelines into routine clinical practice remains challenging and poses an obstacle to the improvement of United States healthcare quality. Continuous quality improvement should be a dynamic process, and in our experience, audited feedback coupled with education is most effective.

Original languageEnglish (US)
Pages (from-to)139-146
Number of pages8
JournalUrology
Volume153
DOIs
StatePublished - Jul 2021

ASJC Scopus subject areas

  • Urology

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