The 130th Annual Meeting of APHA

4053.0: Tuesday, November 12, 2002 - Board 10

Abstract #45799

QNet: A practice-based research network for internal medicine

Jolene Chou, MPH1, Steven M. Lascher, DVM, MPH1, David B. Hanna, MS2, Christel Mottur-Pilson, PhD1, William E. Golden, MD3, and Peter F. Martelli, BA1. (1) Education/Scientific Policy, American College of Physicians-American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106-1572, 215-351-2603,, (2) Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, (3) General Internal Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham, Box 641, Little Rock, AR 72205

As the locus of patient care shifts from hospitals to the ambulatory setting, primary care practices have become increasingly important as a research focus. In 1997, the American Society of Internal Medicine (ASIM) established QNet, a national practice-based research network of internists. Its original objectives were to reinforce best practices, to assess how closely members follow best practices, and to understand physicians’ reasons for non-compliance with clinical practice guidelines. With the merger between ASIM and the American College of Physicians, QNet membership grew to more than 400 physicians. By 2000, 137 QNet physicians completed five best practice studies on chronic common conditions: diabetes, cholesterol screening, congestive heart failure, asthma, and warfarin treatment. Results from these studies were analyzed both quantitatively and qualitatively; quantitative analysis elucidated areas of patient care that were sub-optimal, while qualitative analysis captured barriers to following clinical practice guidelines and achieving optimal care. An evaluation study has also been completed to assess the progress of this network. QNet is now launching three new initiatives: a regional primary care diabetes quality improvement project, a national diabetes pharmacological management project, and a national study on the management of the first incident of deep venous thrombosis/pulmonary embolism. In this session, we will present QNet methodology, results, and lessons learned. We will also discuss the value of PBRNs in translating research into practice, identifying barriers to clinical practice guideline implementation, and the use of the PBRN model to improve practice quality.

Learning Objectives: At the conclusion of this session, the participant will be able to

Keywords: Quality of Care, Primary Care

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: American College of Physicians-American Society of Internal Medicine
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment

Medical Care Section Poster Session #3

The 130th Annual Meeting of APHA