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dc.contributor.authorHeckman, George A.
dc.contributor.authorBoscart, Veronique M.
dc.contributor.authorFranco, Bryan B.
dc.contributor.authorHillier, Loretta
dc.contributor.authorCrutchlow, Lauren
dc.contributor.authorLee, Linda
dc.contributor.authorMolnar, Frank J.
dc.contributor.authorSeitz, Dallas
dc.contributor.authorStolee, Paul 14:37:01 (GMT) 14:37:01 (GMT)
dc.description.abstractBackground: Primary care-based memory clinics (PCMCs) have been established in several jurisdictions to improve the care for persons with Alzheimer’s disease and related dementias. We sought to identify key quality indicators (QIs), quality improvement mechanisms, and potential barriers and facilitators to the establishment of a quality assurance framework for PCMCs. Methods: We employed a Delphi approach to obtain consensus from PCMC clinicians and specialist physicians on QIs and quality improvement mechanisms. Thirty-eight candidate QIs and 19 potential quality improvement mechanisms were presented to participants in two rounds of electronic Delphi surveys. Written comments were collected and descriptively analyzed. Results:The response rate for the first and second rounds were 21.3% (n = 179) and 12.8% (n = 88), respectively. The majority of respondents were physicians. Fourteen QIs remained after the consensus process. Ten quality improvement mechanisms were selected with those characterized by specialist integration, such as case discussions and mentorships, being ranked highly. Written comments revealed three major themes related to potential barriers and facilitators to quality assurance: 1) perceived importance, 2) collaboration and role clarity, and 3) implementation process.Conclusion:We successfully utilized a consultative process among primary and specialty providers to identify core QIs and quality improvement mechanisms for PCMCs. Identified quality improvement mechanisms highlight desire for multi-modal education. System integration and closer integration between PCMCs and specialists were emphasized as essential for the provision of high-quality dementia care in community settings.en
dc.description.sponsorshipAlzheimer Society of Canada, Canadian Institutes of Health Research (CIHR), Schlegel-University of Waterloo-Research Institute for Agingen
dc.publisherCanadian Geriatrics Societyen
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.subjectQuality improvementen
dc.subjectPrimary careen
dc.subjectChronic disease managementen
dc.subjectQuality indicatorsen
dc.subjectSystem integrationen
dc.titleQuality of Dementia Care in the Community: Identifying Key Quality Assurance Componentsen
dcterms.bibliographicCitationHeckman, G., Boscart, V., Franco, B., Hillier, L., Crutchlow, L., Lee, L., Molnar, F., Seitz, D., Stolee, P.. Quality of Dementia Care in the Community: Identifying Key Quality Assurance Components. Canadian Geriatrics Journal, North America, 19, oct. 2016.en
uws.contributor.affiliation1Faculty of Applied Health Sciencesen
uws.contributor.affiliation2School of Public Health and Health Systemsen

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