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The Role of Team Processes for Improving Diabetes Quality of Care

Benzer JK, Mohr DC, Evans, L, Young G, Meterko MM, Moore SC, Nealon Seibert M, Osatuke K, Stolzmann KL, Charns MP. The Role of Team Processes for Improving Diabetes Quality of Care. Poster session presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 8; Philadelphia, PA.


Objectives: Much of current team-based research focuses on the psychological environment of the organization (e.g., social relationships) rather than behavioral team processes, such as action processes (e.g., coordination), interpersonal processes (e.g., conflict management), and transition processes (e.g., planning). We seek to fill this gap by applying a team process framework to identify processes that are associated with different patterns of primary care team performance over time. Methods: We used thematic analysis on 114 primary care staff interviews across 17 primary care clinics. We purposefully selected primary care clinics using diabetes quality of care (i.e., intermediate outcomes from EPRP) over three years using four categories: consistently high, improving, worsening, and consistently low. The interview guide was developed using the healthcare teams literature. Interviewers were blind to performance level. Two coders ( > 90% agreement) recognized the applicability of the team process framework as they engaged closely with the data. The team process framework was used for coding but coders were also open to emergent concepts. Analyses were conducted by comparing participant responses within and between performance groups.

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