Lead Evaluator: Kaiser Clinical Quality Improvement in the Safety Net Project


Major Research Questions
How can we improve clinical outcomes for safety net patients with chronic diseases?

How can we improve the capacity for safety net providers to engage in clinical quality improvement?
  • Clackamas County Health Department
  • Cowlitz Family Health Center
  • Native American Rehabilitation Association (NARA)
  • North by Northeast Community Health Center
  • Salem Free Medical Clinic
  • SW Community Health Center
  • Virginia Garcia Memorial Foundation
  • The Wallace Medical Concern
Project Timeline
March 1, 2013 to Feb. 28, 2015.
When can we expect to see results?
Between Oct. 1, 2014 and
Feb. 28, 2015
Additional Information

What is the Clinical Quality Improvement Initiative?
The Kaiser Permanente Northwest Clinical Quality Improvement (CQI) awarded grants to eight safety net clinics (seven in Oregon and one in Washington) to improve clinical outcomes for patients with chronic illnesses. CORE’s role in this project is to evaluate each clinic’s outcomes and provide technical assistance in their data collection, measurement and reporting.

All eight clinics are collaborating with CORE to advance the following four goals:
  • Improve clinical outcomes in patients with chronic illnesses such as diabetes and hypertension.
  • Improve the data reporting capacity and quality improvement processes among safety net providers.
  • Contribute to a reduction in documented health disparities and improved health equity.
  • Improve readiness among safety net providers for outcome reporting requirements under healthcare reform.

Study design
CORE’s role as program evaluator for this project is to:

  1. Review the current measurement system. Provide evaluation and technical assistance to grantees to help them improve measurement and reporting processes to better assess progress and report outcomes of their projects. Document both intermediate and long-term outcomes at the patient, organization and initiative level.
  2. Continue to track implementation progress and change over time. Build on the elements of a learning system that were begun in year one, to provide formative feedback for process improvement. Employ interviewing and case study methods to track progress, identify common problems and barriers, identify emerging solutions; use results to highlight best practices across all awardees.
  3. Provide ongoing measurement and reporting support. Design and implement a flexible system for ongoing technical support for grantees, and ongoing reporting support for KP. Provide individual assistance with data tracking, measurement, validation, and reporting as needed; prepare and position each grantee to be successful in fulfilling its reporting requirements, and create reports that are useful to awardees and funders.

For more information about this project, contact CORE.