title: All teach, all learn, all improve?: the role of interorganizational learning in quality improvement collaboratives.
abstract: BACKGROUND
  Quality improvement collaboratives are an increasingly common strategy for implementing evidence-based practices in health care. However, research shows that many participating organizations do not achieve the level of performance improvement desired.
  
  
  OBJECTIVE
  This study examined the use of interorganizational learning activities (inter-OLAs) as an explanation for mixed performance improvement among collaborative participants. We tested the hypotheses that inter-OLA use is positively associated with participants' performance improvement and that this relationship is moderated by the use of intraorganizational learning activities (intra-OLAs) and quality-focused human resource (Q-HR) practices.
  
  
  METHODS
  We conducted a survey of organizational teams participating in 4 Institute for Healthcare Improvement Breakthrough Series collaboratives. Survey responses from 52 teams, regarding the use of inter-OLAs, intra-OLAs and Q-HR practices, were linked to performance improvement data obtained from the Institute for Healthcare Improvement and demographic data obtained from secondary sources.
  
  
  RESULTS
  The more collaborative teams used inter-OLAs, the more their organizations' performance improved. Contrary to our hypothesis, the use of intra-OLAs did not moderate this relationship; teams' use of intra-OLAs added to, but did not multiply, the effect of inter-OLA use. In contrast, an organization's use of Q-HR practices multiplied the performance benefit of inter-OLA use.
  
  
  CONCLUSIONS
  Our findings suggest that organizations that participate in collaboratives are more likely to improve their performance if they use the inter-OLAs offered by the collaborative. Our results also suggest that complementing high use of inter-OLAs with intra-OLA use and Q-HR practices enhances performance improvement. For collaborative sponsors, our findings imply that including activities that facilitate interorganizational and intraorganizational learning are worthwhile.
authors.affiliation: School of Public Health, School of Management, Yale University, New Haven, Connecticut, USA. ingrid.nembhard@yale.edu
authors.forename: Ingrid M
authors.initials: IM
authors.lastname: Nembhard
mesh_terms: D000288:Administrative Personnel / Q000523:psychology*; D000328:Adult; D003299:Cooperative Behavior; D055317:Evidence-Based Practice; D006280:Health Workforce; D006801:Humans; D007324:Institutional Management Teams; D007373:Interinstitutional Relations; D058436:Knowledge Management; D008875:Middle Aged; D058996:Quality Improvement / Q000592:standards*; D011795:Surveys and Questionnaires