Table 2

Actions to improve quality related to each of the EQuiP targets

Target	Action
CME = continuing medical education; QI = quality improvement.
Leadership	Train professionals in leadership
	Stimulate shared quality improvement processes
	Define job descriptions clearly
	Facilitate clinical guidelines across the interface
	Facilitate guidelines for cooperation
	Facilitate consensus discussions
Shared care approach	Stimulate communication across the interface
	Involve local leadership in quality improvement
	Audit care across the interface
	Create dialogue with patients
Consensus on task division	Establish discussion groups with GPs, specialists and leaders
	Strengthen the professional identity of GPs
	Base solutions on needs and resources in each country
Guidelines	Local GPs and specialists establish local guidelines together
	Guidelines must include consensus on cooperation between GPs and specialists
	Patient perspective to be included in guidelines
Patients	Audit patient “journeys” across interfaces and through the health care system
	Include patients in audit
	Monitor patient expectations and evaluation of care by validated methods
Information	Electronic patient records, guidelines and recommendations
	Electronic communication and transfer of information across the interface
	Public information about access, processes, and outcomes
Education	Basic medical education to include courses in quality improvement
	Specialist vocational training in general practice care sector
	Joint CME courses for specialists and GPs
Team building	Teams defined by tasks and circumstances
	“Interface teams” for specific groups of patient, e.g. palliation, rehabilitation of stroke patients, diabetic care
Monitoring quality in clinical work	Audit, benchmarking, patient surveys
	Monitor outcomes and processes
	Use indicators selected in guidelines
Cost effectiveness	Is a result of QI, not a prime target
	Select indicators that cover both primary and secondary care