Continuous Quality Improvement Cohorts on Advanced Access
Impact of Externally Facilitated Continuous Quality Improvement Cohorts on Advanced Access to Support Primary Healthcare Teams
1 other identifier
interventional
48
1 country
18
Brief Summary
The goal of this clinical trial is to compare the implementation and effects of CQI cohorts on AA for PHC clinics. The main questions it aims to answer are to assess the effectiveness of CQI cohorts on AA outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2022
Typical duration for not_applicable
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 21, 2022
CompletedFirst Submitted
Initial submission to the registry
December 21, 2022
CompletedFirst Posted
Study publicly available on registry
February 6, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2025
CompletedFebruary 6, 2023
February 1, 2023
1.7 years
December 21, 2022
February 2, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
3rd next available appointment (weekly)
Delay before the 3rd next available appointment. The 3rd next available appointment is used (rather than the 1st or 2nd) to decrease variation.
18 month
Percent of relational continuity (monthly)
Total number of medical consultations with a patient's attached family physician (or specialised nurse) out of the total number of consultations with any family physician (or specialised nurse) from the clinic. Evaluates relational continuity between the provider and their registered patients.
18 month
Secondary Outcomes (6)
Percent of 48-hour open slots (weekly)
18 month
Use of walk-in (monthly)
18 month
Proportion of multidisciplinary involvement (monthly)
18 month
Discontinuity for chronic patients (monthly)
18 month
3rd next available appointment (weekly)
12 month
- +1 more secondary outcomes
Study Arms (2)
CQI intervention
EXPERIMENTALThe proposed CQI cohort consists of three activities carried out iteratively until the improvement objectives are achieved.
Audit and feedback
ACTIVE COMPARATORClinics in the control group will receive feedback on six key AA indicators, patients reported experience about access and selected AA processes.
Interventions
Activity 1: Reflective sessions and problem prioritisation. Activity 2: PDSA cycles. Activity 3: Group mentoring.
Audit and Feedback on six key AA indicators, patients reported experience about access and selected AA processes.
Eligibility Criteria
You may qualify if:
- Clinics must offer interprofessional care.
- At least 50 % of all team members should accept to take part in the study.
You may not qualify if:
- Solo Practice Physicians
- Physician-nurse only model
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Université de Sherbrookelead
- Isabelle Gabourycollaborator
- Mike Greencollaborator
- Tara Kirancollaborator
- Janusz Kaczorowskicollaborator
- Maude Labergecollaborator
Study Sites (18)
CISSS de la Gaspésie
Gaspé, Quebec, Canada
CISSS de l'Outaouais
Gatineau, Quebec, J8T 4J3, Canada
CISSS de Lanaudière
Joliette, Quebec, Canada
CISSS de Laval
Laval, Quebec, Canada
CISSS de Chaudière-Appalaches
Lévis, Quebec, Canada
CIUSSS de Montérégie-Centre
Longueuil, Quebec, Canada
CIUSSS de l'Est-de-l'Île-de-Montréal
Montreal, Quebec, H1T 2M4, Canada
CIUSSS de l'Ouest-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Centre-Ouest-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Centre-Sud-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Nord-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CISSS de l'Abitibi-Témiscamingue
Rouyn-Noranda, Quebec, J9X 2A9, Canada
CISSS de la Montérégie-Ouest
Saint-Hubert, Quebec, J3Y 6W9, Canada
CISSS de la Montérégie-Est
Saint-Hyacinthe, Quebec, J2S 4Y8, Canada
CISSS des Laurentides
Saint-Jérôme, Quebec, Canada
CIUSSS de l'Estrie-CHUS
Sherbrooke, Quebec, Canada
CIUSSS de la Mauricie et Centre-du-Québec
Trois-Rivières, Quebec, Canada
CIUSSS de la Capitale-Nationale
Québec, G1M 3X7, Canada
Related Publications (1)
Breton M, Gaboury I, Martin E, Green ME, Kiran T, Laberge M, Kaczorowski J, Ivers N, Deville-Stoetzel N, Bordeleau F, Beaulieu C, Descoteaux S. Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial. BMC Prim Care. 2023 Apr 11;24(1):97. doi: 10.1186/s12875-023-02048-y.
PMID: 37038126DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Mylaine Breton, PhD
Université de Sherbrooke
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Department of Community Health Sciences
Study Record Dates
First Submitted
December 21, 2022
First Posted
February 6, 2023
Study Start
September 21, 2022
Primary Completion
June 1, 2024
Study Completion
June 1, 2025
Last Updated
February 6, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share