Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Planning Audit and Feedback Interventions in Health Care Organisations. An Account from an Italian National Program for Audit & Feedback Implementation

Version 1 : Received: 3 July 2023 / Approved: 3 July 2023 / Online: 6 July 2023 (13:22:41 CEST)

How to cite: Violi, F.; Angioletti, C.; Acampora, A.; Belvis, A.G.D.; Ciccone, G.; Davoli, M.; Agabiti, N.; Grilli, R. Planning Audit and Feedback Interventions in Health Care Organisations. An Account from an Italian National Program for Audit & Feedback Implementation. Preprints 2023, 2023070115. https://doi.org/10.20944/preprints202307.0115.v1 Violi, F.; Angioletti, C.; Acampora, A.; Belvis, A.G.D.; Ciccone, G.; Davoli, M.; Agabiti, N.; Grilli, R. Planning Audit and Feedback Interventions in Health Care Organisations. An Account from an Italian National Program for Audit & Feedback Implementation. Preprints 2023, 2023070115. https://doi.org/10.20944/preprints202307.0115.v1

Abstract

Audit&Feedback (A&F) consists of multidimensional quality improvement activities, but its optimal design is still debated. Our study aims to outline how interventions of the Italian EASY-NET research program were designed, to explore whether desirable characteristics of an "ideal" A&F were adopted. A&F design included description of the working group, targeted clinical behaviors, selected indicators, sources, feedback procedures, corrective actions expected. Information was classified into four topics: nature of the desired action, type of data available, feedback display and delivery. Out of 9 projects, 3/9 aimed at changing a focused clinical behavior, 6/9 were generic; all projects identified clinicians as recipients, 8 explicitly considered managers. It was planned to develop an average of 27 indicators from administrative databases, as needed supplemented by ad hoc data collection. Five projects included outcome measures. Comparators derived from scientific literature or from territorial real-life data. Feedback was scheduled every 12, 6 or 3 months, or upon request, delivered as aggregate data (graphs and tables) via web platforms, e-mail, workshops, and individual meetings. In conclusion, at an early stage the projects were mostly “wide focused”, but improvements in A&F design and delivery have been introduced, and projects, still ongoing, will offer interesting insights on A&F effectiveness.

Keywords

Audit&Feedback; Quality Improvement,; Key Performance Indicators; Care Pathways

Subject

Public Health and Healthcare, Public Health and Health Services

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