Table 2

Actions to improve quality related to each of the EQuiP targets

TargetAction
CME = continuing medical education; QI = quality improvement.
LeadershipTrain 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 approachStimulate communication across the interface
Involve local leadership in quality improvement
Audit care across the interface
Create dialogue with patients
Consensus on task divisionEstablish discussion groups with GPs, specialists and leaders
Strengthen the professional identity of GPs
Base solutions on needs and resources in each country
GuidelinesLocal GPs and specialists establish local guidelines together
Guidelines must include consensus on cooperation between GPs and specialists
Patient perspective to be included in guidelines
PatientsAudit patient “journeys” across interfaces and through the health care system
Include patients in audit
Monitor patient expectations and evaluation of care by validated methods
InformationElectronic patient records, guidelines and recommendations
Electronic communication and transfer of information across the interface
Public information about access, processes, and outcomes
EducationBasic medical education to include courses in quality improvement
Specialist vocational training in general practice care sector
Joint CME courses for specialists and GPs
Team buildingTeams 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 workAudit, benchmarking, patient surveys
Monitor outcomes and processes
Use indicators selected in guidelines
Cost effectivenessIs a result of QI, not a prime target
Select indicators that cover both primary and secondary care