PT  - JOURNAL ARTICLE
AU  - Tara Kiran
AU  - Noor Ramji
AU  - Mary Beth Derocher
AU  - Rajesh Girdhari
AU  - Samantha Davie
AU  - Margarita Lam-Antoniades
TI  - Ten tips for advancing a culture of improvement in primary care
AID  - 10.1136/bmjqs-2018-008451
DP  - 2018 Dec 06
TA  - BMJ Quality & Safety
PG  - bmjqs-2018-008451
4099  - http://qualitysafety.bmj.com/content/early/2018/12/05/bmjqs-2018-008451.short
4100  - http://qualitysafety.bmj.com/content/early/2018/12/05/bmjqs-2018-008451.full
AB  - Embracing practice-based quality improvement (QI) represents one way for clinicians to improve the care they provide to patients while also improving their own professional satisfaction. But engaging in care redesign is challenging for clinicians. In this article, we describe our experience over the last 7 years transforming the care delivered in our large primary care practice. We reflect on our journey and offer 10 tips to healthcare leaders seeking to advance a culture of improvement. Our organisation has developed a cadre of QI leaders, tracks a range of performance measures and has demonstrated sustained improvements in important areas of patient care. Success has required deep engagement with both patients and clinicians, a long-term vision, and requisite patience.