Quality in Primary Care Open Access

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Building high functioning clinical teams through quality improvement initiatives

Thomas P O?Toole, Richard Cabral, Jonathan M Blumen, Dawna A Blake

Background Team-based care has consistently been associated with improved clinical outcomes. However, strategies for promoting and sustaining a team-based approach in family medicine practice are more elusive. MethodsWe conducted a longitudinal time series cohort study of 30 primary care providers in seven practices to assess the sequential addition of three different chronic disease management feedback reports over 24 months, culminating in a teambased quality improvement intervention linked to feedback, assessing clinical performance and selfreported effectiveness. ResultsThe proportion of patients at their low density lipoprotein target (

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