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Controlling for practice and PCP/staff characteristics, burnout increased by 5 points for PCPs in comparison practices ( p = .024) and decreased by 1.4 points for early and 6.8 points (p = .039) for the late EBQI practices. Age was associated with lower burnout among PCPs ( p = .039) and male PCPs had higher satisfaction ( p = .037). Survey rates were 63% for baseline and 48% for both follow-up waves. Six of 26 approved EBQI innovations directly addressed provider and staff morale all 26 addressed medical home implementation challenges. Main outcome measures were the emotional exhaustion subscale from the Maslach Burnout Inventory, and job satisfaction. We used repeated measures analysis of the survey data on medical home teams. Three waves of surveys were administered across 42 months beginning in November 2011 and ending in January 2016 approximately 2 years 18 months apart. Three intervention practices began EBQI in 2011 (early) and three more began EBQI in 2012 (late). The sample included 356 primary care employees (107 primary care providers and 249 staff) from 23 primary care practices (6 intervention and 17 comparison) within one Veterans Health Administration region. no EBQI), a multi-level, interdisciplinary approach for engaging frontline primary care practices in developing evidence-based improvement innovations and tools for spread on PCP and staff morale following the 2010 national implementation of the medical home model in the Veterans Health Administration. We used a longitudinal quasi-experimental design to examine the impact of EBQI (vs. The objective of this study is to examine whether primary care practices participating in evidence-based quality improvement (EBQI) during medical home transformation reduced burnout and increased satisfaction over time compared to non-participating practices. No studies, however, have assessed the impact of quality improvement participation on morale (e.g., burnout or dissatisfaction) during transformation. Medical home literature hypothesizes that participation in quality improvement can ease medical home transformation. Continued abuse of our services will cause your IP address to be blocked indefinitely.Poor morale among primary care providers (PCPs) and staff can undermine the success of patient-centered care models such as the patient-centered medical home that rely on highly coordinated inter-professional care teams. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. If you promise to stop (by clicking the Agree button below), we'll unblock your connection for now, but we will immediately re-block it if we detect additional bad behavior.
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