PMID: 8608331Nov 1, 1995Paper

Competing HMOs collaborate to improve preventive services

The Joint Commission Journal on Quality Improvement
L I SolbergS Richards

Abstract

In July 1993, an unusual collaboration developed between competing managed care plans and with competing primary care clinics as part of a federally funded research grant (IMPROVE from the Agency for Health Care Policy and Research). The goal of this collaboration is to scientifically test the ability of an health maintenance organization (HMO) to improve the delivery of eight adult preventive services by training and facilitating the use of continuous quality improvement and prevention systems by contracted private primary clinics. In order to conduct this effectiveness study, it was necessary for two HMOs to come to a structural and functional understanding of how to operate jointly. Investigators recruited 44 private clinics for a randomized controlled trial in which 22 are being assisted in improving the process used to deliver these preventive services and 22 are being left alone as comparison clinics. The intervention is a train-the-trainer and consultation approach focused on clinics as collaborating customers. The comparison will be based on repeated surveys of patients and clinic personnel as well as chart audits to measure changes in systems and prevention rates. Although this project was made possible by a number of ...Continue Reading

References

Mar 14, 1992·BMJ : British Medical Journal·A J DietrichF S Whaley
Jun 7, 1994·The Journal of Ambulatory Care Management·R S JacksonA D Kaluzny

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Citations

Feb 10, 1998·Health Affairs·M L Durham
Mar 12, 1998·Health Care Management Review·R E MyersR L Comis
Nov 3, 1998·Journal of General Internal Medicine·A C KaoP D Cleary

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