title: Performance feedback: an exploratory study to examine the acceptability and impact for interdisciplinary primary care teams.
abstract: BACKGROUND
  This mixed methods study was designed to explore the acceptability and impact of feedback of team performance data to primary care interdisciplinary teams.
  
  
  METHODS
  Seven interdisciplinary teams were offered a one-hour, facilitated performance feedback session presenting data from a comprehensive, previously-conducted evaluation, selecting highlights such as performance on chronic disease management, access, patient satisfaction and team function.
  
  
  RESULTS
  Several recurrent themes emerged from participants' surveys and two rounds of interviews within three months of the feedback session. Team performance measurement and feedback was welcomed across teams and disciplines. This feedback could build the team, the culture, and the capacity for quality improvement. However, existing performance indicators do not equally reflect the role of different disciplines within an interdisciplinary team. Finally, the effect of team performance feedback on intentions to improve performance was hindered by a poor understanding of how the team could use the data.
  
  
  CONCLUSIONS
  The findings further our understanding of how performance feedback may engage interdisciplinary team members in improving the quality of primary care and the unique challenges specific to these settings. There is a need to develop a shared sense of responsibility and agenda for quality improvement. Therefore, more efforts to develop flexible and interactive performance-reporting structures (that better reflect contributions from all team members) in which teams could specify the information and audience may assist in promoting quality improvement.
authors: CT Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, University of Ottawa, Department of Family Medicine, Ottawa, Ontario, Canada. sjohnston@bruyere.org
authors: Sharon
authors: S
authors: Johnston
authors: Michael
authors: M
authors: Green
authors: Patricia
authors: P
authors: Thille
authors: Colleen
authors: C
authors: Savage
authors: Lynn
authors: L
authors: Roberts
authors: Grant
authors: G
authors: Russell
authors: William
authors: W
authors: Hogg
mesh_terms: D001291:Attitude of Health Personnel; D004650:Employee Performance Appraisal / Q000592:standards*; D006801:Humans; D010348:Patient Care Team / Q000592:standards*; D011320:Primary Health Care / Q000458:organization & administration*