Fifolt Matthew, Preskitt Julie, Rucks Andrew, Corvey Kathryn, Benton Elizabeth Cason
Department of Health Care Organization and Policy in the School of Public Health, University of Alabama at Birmingham (Drs Fifolt, Preskitt, and Rucks and Ms Corvey); and UAB School of Medicine Department of Pediatrics and Alabama Child Health Improvement Alliance, Birmingham (Dr Benton).
Qual Manag Health Care. 2017 Jan/Mar;26(1):33-39. doi: 10.1097/QMH.0000000000000124.
Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives.
Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology.
Q-methodology provided the Alabama Child Health Improvement Alliance (ACHIA) an objective and rigorous approach to system improvement. Selected priority measures were used to design learning collaboratives. An open dialogue among stakeholders about state health priorities spurred greater organizational buy-in for ACHIA and increased its credibility as a statewide provider of learning collaboratives.
The integrated processes of Q-sort methodology, learning collaboratives, and CQI offer a practical yet innovative way to identify and prioritize state measures for child and adolescent health and establish a learning agenda for targeted quality improvement activities.
Q分类法是一种未得到充分利用的工具，用于区分多个优先事项衡量标准。作者描述了识别、界定和分类潜在健康衡量标准的步骤，并使用选定的优先事项衡量标准为学习协作组织内的持续质量改进（CQI）活动制定总体议程。
通过反复迭代过程，作者对一系列潜在的儿童和青少年健康衡量标准进行了审核。包括支付方、直接护理提供者和组织代表在内的多个利益相关者采用Q方法对衡量标准进行了分类和排序。
Q方法为阿拉巴马州儿童健康改善联盟（ACHIA）提供了一种客观且严谨的系统改进方法。选定的优先事项衡量标准被用于设计学习协作组织。利益相关者之间就该州健康优先事项展开的公开对话促使各组织对ACHIA给予了更多支持，并提升了其作为全州学习协作组织提供者的可信度。
Q分类法、学习协作组织和CQI的综合流程提供了一种实用且创新的方式，用于识别和确定儿童和青少年健康的州级衡量标准的优先顺序，并为有针对性的质量改进活动制定学习议程。
