title: Increasing capacity for quality improvement in underresourced primary care settings.
abstract: While hospitals have widely adopted quality improvement (QI) initiatives, primary care practices continue to face unique challenges to QI implementation. The purpose of this article is to outline a strategy for promoting QI in primary care practices by introducing specially trained nurses. Two case examples are described, one with a QI nurse external to the practice and one with a nurse internal to the practice. Lessons learned and barriers and facilitators to QI in primary care are presented. Barriers and facilitators are identified in the following categories: practice infrastructure, practice leadership, and practice organizational culture. Implications for primary care practitioners and avenues for future work are discussed.
authors: College of Nursing, Medical University of South Carolina, Charleston (Drs Hudson and Laken); Mary Black School of Nursing, University of South Carolina Upstate, Spartanburg (Ms Hiott); JCG Management Consulting, Centerville, Ohio (Mr Cole); Care Coordination Institute, Greenville, South Carolina (Mr Davis); and Department of Medicine, University of South Carolina at Greenville (Dr Egan).
authors: Shannon M
authors: SM
authors: Hudson
authors: Deanna B
authors: DB
authors: Hiott
authors: Jeff
authors: J
authors: Cole
authors: Robert
authors: R
authors: Davis
authors: Brent M
authors: BM
authors: Egan
authors: Marilyn A
authors: MA
authors: Laken
mesh_terms: D006297:Health Services Accessibility; D006801:Humans; D008507:Medically Underserved Area; D009726:Nurses; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D011320:Primary Health Care / Q000379:methods* / Q000592:standards*; D058996:Quality Improvement; D013022:South Carolina