Measuring an organization's ability to manage change: the change process capability questionnaire and its use for improving depression care.
OBJECTIVE
To describe a new survey tool for assessing medical group capability to improve care and to test the relationship between survey scores and other factors among 41 medical groups.


METHODS
The 30 factors and strategies that experienced quality improvement leaders ranked as most important for successful implementation were incorporated in a questionnaire. The scores from 41 medical directors on this Change Process Capability Questionnaire (CPCQ) in relation to depression improvement were correlated with organizational factors.


RESULTS
On a 5-point response scale, there was high variation on nearly all CPCQ items (standard deviation, 0.59-1.63) and for overall scores for factors and strategies. The total CPCQ score also correlated highly with organizational priority for depression improvement as well as with the presence of overall systems for depression care.


CONCLUSIONS
This measure appears to distinguish among medical groups and to demonstrate an association with both change priorities and implemented systems for depression.
HealthPartners Research Foundation, Minneapolis, Minnesota 55440-1524, USA. leif.i.solberg@healthpartners.com
Leif I
LI
Solberg
Stephen E
SE
Asche
Karen L
KL
Margolis
Robin R
RR
Whitebird
D001291:Attitude of Health Personnel; D003866:Depressive Disorder / Q000628:therapy*; D006801:Humans; D009936:Organizational Innovation; D009937:Organizational Objectives; D011364:Professional Practice / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires