Facilitating organisational development using a group-based formative assessment and benchmarking method: design and implementation of the International Family Practice Maturity Matrix.
BACKGROUND
Well-organised practices deliver higher-quality care. Yet there has been very little effort so far to help primary care organisations achieve higher levels of team performance and to help them identify and prioritise areas where quality improvement efforts should be concentrated. No attempt at all has been made to achieve a method which would be capable of providing comparisons--and the stimulus for further improvement--at an international level.


METHODS
The development of the International Family Practice Maturity Matrix took place in three phases: (1) selection and refinement of organisational dimensions; (2) development of incremental scales based on a recognised theoretical framework; and (3) testing the feasibility of the approach on an international basis, including generation of an automated web-based benchmarking system.


RESULTS
This work has demonstrated the feasibility of developing an organisational assessment tool for primary care organisations that is sufficiently generic to cross international borders and is applicable across a diverse range of health settings, from state-organised systems to insurer-based health economies. It proved possible to introduce this assessment method in 11 countries in Europe and one in Africa, and to generate comparison benchmarks based on the data collected. The evaluation of the assessment process was uniformly positive with the view that the approach efficiently enables the identification of priorities for organisational development and quality improvement at the same time as motivating change by virtue of the group dynamics.


CONCLUSIONS
We are not aware of any other organisational assessment method for primary care which has been 'born international,' and that has involved attention to theory, dimension selection and item refinement. The principal aims were to achieve an organisational assessment which gains added value by using interaction, engagement comparative benchmarks: aims which have been achieved. The next step is to achieve wider implementation and to ensure that those who undertake the assessment method ensure linkages are made to planned investment in organisational development and quality improvement. Knowing the problems is only half the story.
Elwyn
Glyn
G
Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, UK. elwyng@cardiff.ac.uk
Bekkers
Marie-Jet
MJ
Tapp
Laura
L
Edwards
Adrian
A
Newcombe
Robert
R
Eriksson
Tina
T
Braspenning
Jozé
J
Kuch
Christine
C
Adzic
Zlata Ozvacic
ZO
Ayankogbe
Olayinka
O
Cvetko
Tatjana
T
In 't Veld
Kees
K
Karotsis
Antonis
A
Kersnik
Janko
J
Lefebvre
Luc
L
Mecini
Ilir
I
Petricek
Goranka
G
Pisco
Luis
L
Thesen
Janecke
J
Turón
José María
JM
van Rossen
Edward
E
Grol
Richard
R
D019985:Benchmarking / Q000379:methods* / Q000458:organization & administration; D005194:Family Practice / Q000592:standards*; D005240:Feasibility Studies; D011795:Surveys and Questionnaires; D006113:United Kingdom