Experience of Multiple Sclerosis Centers Leading QI Initiatives in the MS-CQI Collaborative: A Qualitative Study

Experience of Multiple Sclerosis Centers Leading QI Initiatives in the MS-CQI Collaborative: A Qualitative Study

Experience of Multiple Sclerosis Centers Leading QI Initiatives in the MS-CQI Collaborative: A Qualitative Study

Background: MS-CQI is the first multicenter improvement research collaborative for MS. Here we describe a qualitative study of MS center quality improvement (QI) teams that participated in the three year study.

Methods: We explored factors likely to influence QI capability: (1) leadership; (2) burnout; (3) resiliency; and (4) the COVID-19 pandemic. A purposive sample of eight QI team members were selected and semi-structured interviews conducted. Maximum variation sampling was used to provide the widest range of experiences and opinions of team members in all 4 sites. N’Vivo software was used for analysis.

Results: Leadership facilitators included support for team, fair-mindedness, QI knowledge, and engagement (being present). Participation in QI was protective vs. burnout (rekindling effect), and collaboration fostered resiliency. COVID had a substantial impact on QI efforts (sometimes positive, other times negative). Conclusion: We found that MS-CQI had a perceived beneficial effect on engagement, resiliency, teamwork and burnout in QI team respondents. Leader engagement was a critical influencing factor, and COVID had a significant modifying effect on the QI experience.


Presenter/s: Catherine Alexander (Department of Community & Family Medicine, Dartmouth-Hitchcock-Health, Lebanon, NH, United States) , Hasna Hakim (Department of Community & Family Medicine, Dartmouth-Hitchcock-Health, Lebanon, NH, United States) , Falguni Mehta (Department of Community & Family Medicine, Dartmouth-Hitchcock-Health, Lebanon, NH, United States) , Brant Oliver (The Dartmouth Institute, USA)