Natural History of Practice Transformation: Development and Initial Testing of an Outcomes-Based Model - American Board of Medical Specialties

This article describes the development of a two-phased practice transformation model, where quality improvement consultants worked with practices in designing custom interventions that would help improve the quality of care. In this process, three practice types were identified: transformed, activated, and engaged practices. A little less than half of the practices demonstrated improvement in one year. Authors concluded that practice transformation is a long-term process, where engagement, rate of improvement, and sustainability are influenced by certain motivators and support structures. Participating practices were those from North Carolina Improving Performance in Practice program. Physicians participating in the program were eligible for Maintenance of Certification (MOC) Part IV credit. It should be noted that the study is limited to a small sample size, volunteer participants, data collection methodology, and variability of the interventions among the practices.