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Table 3 Aggregate mean response to survey questions at baseline, 6-months, and 12-months

From: Developing primary care teams prepared to improve quality: a mixed-methods evaluation and lessons learned from implementing a microsystems approach

 

Baseline

6-months

Significance* (p-value)

12-months

Significance* (p-value)

Domain and question

N

Mean (SD)

N

Mean (SD)

N

Mean (SD)

Organizational support

 I am given all the tools and equipment I need to be effective in my job.

200

3.32 (0.98)

157

3.50 (0.95)

0.358

129

3.66 (0.83)

0.013

 I have useful knowledge and information about our patient population (e.g., demographics, clinical outcomes, satisfaction, what they want and need).

200

3.38 (0.96)

156

3.69 (0.74)

0.081

124

3.74 (0.78)

0.007

 My clinical microsystem work is supported by our clinic manager.

204

4.10 (0.77)

156

4.21 (0.82)

0.244

130

4.25 (0.73)

0.281

Team effectiveness and cohesion

 I feel confident about the capability of my group to perform the tasks very well.

203

4.06 (0.74)

156

4.09 (0.64)

0.744

125

4.07 (0.65)

0.912

 I feel confident that my group will be able to manage effectively unexpected troubles.

203

3.95 (0.78)

154

4.12 (0.58)

0.100

125

4.09 (0.67)

0.419

 My group is able to solve difficult tasks if we invest the necessary effort.

202

3.94 (0.81)

156

4.19 (0.52)

0.014

125

4.15 (0.60)

0.194

 My microsystem team is fully competent to make team level improvements.

201

4.00 (0.75)

156

4.15 (0.58)

0.143

125

4.14 (0.59)

0.324

 I have a strong bond with most of the members of my microsystem team.

203

3.90 (0.78)

156

4.16 (0.70)

0.017

125

4.16 (0.68)

0.055

Meeting and quality improvement skills

 I know the top processes that need to be improved and are known to be a source of patient complaints.

199

2.58 (0.87)

156

3.81 (0.72)

<.0001

123

3.83 (0.67)

<.0001

 I know how to use data to identify opportunities for improvement.

201

3.08 (0.93)

156

3.95 (0.61)

<.0001

124

4.00 (0.60)

<.0001

 I can create a meeting agenda that keeps us focused on specific improvement aims.

201

3.03 (0.88)

155

4.03 (0.63)

<.0001

124

4.06 (0.72)

<.0001

 I can play the role of facilitator, meeting leader, timekeeper or recorder, as needed.

202

3.30 (0.93)

156

4.18 (0.60)

<.0001

123

4.02 (0.84)

<.0001

 I know the purpose of our microsystem team.

201

3.22 (0.94)

158

4.10 (0.72)

<.0001

130

4.08 (0.75)

<.0001

Team communication effectiveness

 I feel our team has an effective communication plan for keeping the physician clinic leader (e.g., clinic medical director or site lead) informed of our microsystem work.

196

3.13 (0.89)

156

4.01 (0.74)

<.0001

124

4.00 (0.79)

<.0001

 I contribute and share my team’s improvements with other teams in the practice; we have an effective communication plan for keeping others informed.

197

2.96 (0.91)

156

3.48 (0.93)

<.0001

123

3.40 (0.96)

0.043

  1. *Bold indicates significance at p < 0.05