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ASSESSING THE IMPACT OF PRACTICE IMPROVEMENT TRAINING. NIRMA KHATRI , BA, BS LISA ULMER , MSW, ScD HAMAD SINDHI , MPH OCTOBER 5, 2010. Drexel University School of Public Health. ABSTRACT.

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Assessing the impact of practice improvement training

ASSESSING THE IMPACT OF PRACTICE IMPROVEMENT TRAINING

NIRMA KHATRI, BA, BS

LISA ULMER, MSW, ScD

HAMAD SINDHI, MPH

OCTOBER 5, 2010

Drexel University School of Public Health


Abstract
ABSTRACT

  • Objective(s): Pennsylvania has colorectal cancer incidence and mortality rates higher than the national average, and one of the lowest screening rates among all the states in the US. Literature indicates that primary care providers can play a critical role in statewide systems change to increase screening through: 1) Provider recommendations; 2) Office Policy; 3) Reminder System and 4) Communication Strategies. Toolkits and trainings to promote colorectal cancer screening among primary care providers are available, but it is not clear whether providers are able to translate the knowledge learned in training to practice. The purpose of this project is to develop a method for evaluating colorectal cancer screening practice improvement training for primary care providers.

  • Method(s): Evaluation tools were developed through a literature review of best practices for evaluating provider education

  • Result(s)/finding(s): Evaluation tools were concept-tested with a group of experts to assess both content and feasibility of administration. The final set of tools are presented and discussed.

  • Conclusion: The evaluation tools developed and tested in this project may be utilized to assess the impact of provider education, and improve provider education as needed, thus contributing to increased colorectal cancer screening at provider practices.


Content
CONTENT

  • Importance of colorectal cancer screening training for primary care providers

  • Best practices for primary care provider training

  • Tools to evaluating practice improvement training

  • Assessing the impact of the practice improvement training

  • Next Steps


Key elements of colorectal cancer screening training for primary care providers
KEY ELEMENTS OF COLORECTAL CANCER SCREENING TRAINING FOR PRIMARY CARE PROVIDERS

  • Colorectal cancer (CRC)

  • Risk factors

  • Prevention strategies

  • Control strategies

  • Magnitude of the problem

  • Consequences of the issue

  • Major determinants to CRC screening


Major deteminants of colorectal cancer screening
MAJOR DETEMINANTS OF COLORECTAL CANCER SCREENING PRIMARY CARE PROVIDERS

Environmental: Access to primary care, screening procedures

Social: Health insurance status and type, Socioeconomic status, Ethnic differences among provider and patient

Psychological: Fear and Discomfort

Individual: Knowledge and Socioeconomic Status


Evaluating practice improvement
EVALUATING PRACTICE IMPROVEMENT PRIMARY CARE PROVIDERS

  • How will the system change be measured?

  • How were surveys developed?

  • Main components of the training


Learning activity and retention
LEARNING ACTIVITY AND RETENTION PRIMARY CARE PROVIDERS

Source: Ulmer & Fleisher, ACHI Conference, March 2008


Development of evaluation tools
DEVELOPMENT OF EVALUATION TOOLS PRIMARY CARE PROVIDERS

  • Measurement table

  • Surveys

  • Concept testing

  • Evaluation tool improvements


Measurement table
MEASUREMENT TABLE PRIMARY CARE PROVIDERS


Surveys baseline pre post test
SURVEYS: BASELINE, PRE/POST TEST PRIMARY CARE PROVIDERS


Finalization of evaluation tools
FINALIZATION OF EVALUATION TOOLS PRIMARY CARE PROVIDERS

  • Concept testing with panel of experts

  • Evaluation tool improvement


Contributions to public health practice
CONTRIBUTIONS TO PUBLIC HEALTH PRACTICE PRIMARY CARE PROVIDERS

  • The practice improvement training can be disseminated to other practices to increase screening rates as provider recommendation plays a key role in patient decision to screen

  • A dollar spent in screening saves three dollars in treatment

  • Screening helps identify the disease at the treatable phase

  • Thus, increasing screening rates will improve the health conditions and increase life expectancy


Next steps in research
NEXT STEPS IN RESEARCH PRIMARY CARE PROVIDERS

  • Has practice improvement trainings led to increase in screening?

  • If not, what were some of the barriers in the implementation?

  • Was practice improvement training successful in changing the patient attitude, beliefs and intentions?

  • Were the implemented improvement in the practice improvement training successful in producing the results ?


Thank you
THANK YOU!!! PRIMARY CARE PROVIDERS

For further information, please contact Nirma Khatri at [email protected]


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