Tatum O'Sullivan - Academia.edu (original) (raw)
Uploads
Papers by Tatum O'Sullivan
Health Care Management Review, Oct 1, 2017
An intraorganizational model for developing and spreading quality improvement innovations The MIT... more An intraorganizational model for developing and spreading quality improvement innovations The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters.
Health Care Management Review, 2017
Background: Recent policy reforms encourage quality improvement (QI) innovations in primary care,... more Background: Recent policy reforms encourage quality improvement (QI) innovations in primary care, but practitioners lack clear guidance regarding spread inside organizations. Purpose: We designed this study to identify how large organizations can facilitate intraorganizational spread of QI innovations. Methodology/Approach: We conducted ethnographic observation and interviews in a large, multispecialty, community-based medical group that implemented three QI innovations across 10 primary care sites using a new method for intraorganizational process development and spread. We compared quantitative outcomes achieved through the group’s traditional versus new method, created a process model describing the steps in the new method, and identified barriers and facilitators at each step. Findings: The medical group achieved substantial improvement using its new method of intraorganizational process development and spread of QI innovations: standard work for rooming and depression screening...
Health Care Management Review, Oct 1, 2017
An intraorganizational model for developing and spreading quality improvement innovations The MIT... more An intraorganizational model for developing and spreading quality improvement innovations The MIT Faculty has made this article openly available. Please share how this access benefits you. Your story matters.
Health Care Management Review, 2017
Background: Recent policy reforms encourage quality improvement (QI) innovations in primary care,... more Background: Recent policy reforms encourage quality improvement (QI) innovations in primary care, but practitioners lack clear guidance regarding spread inside organizations. Purpose: We designed this study to identify how large organizations can facilitate intraorganizational spread of QI innovations. Methodology/Approach: We conducted ethnographic observation and interviews in a large, multispecialty, community-based medical group that implemented three QI innovations across 10 primary care sites using a new method for intraorganizational process development and spread. We compared quantitative outcomes achieved through the group’s traditional versus new method, created a process model describing the steps in the new method, and identified barriers and facilitators at each step. Findings: The medical group achieved substantial improvement using its new method of intraorganizational process development and spread of QI innovations: standard work for rooming and depression screening...