Table 1.

EPOC quality improvement strategies

	N	%
Professional interventions
Educational meetings	59	59.6
Other quality improvement techniques (i.e., PDSA, process mapping flowcharts)	54	54.5
Audit and feedback	30	30.3
Distribution of educational materials	18	18.2
Educational outreach visits	12	12.1
Reminders	11	11.1
Marketing	10	10.1
Patient mediated interventions	5	5.1
Local consensus processes	4	4.0
Local opinion leaders	1	1.0
Financial interventions
Provider oriented	9
Provider salaried service	4	4.0
Provider incentives	3	3.0
Fee-for-service	1	1.0
Institution grant/allowance	1	1.0
Patient oriented	0	0.0
Other	3	3.0
Organisational interventions
Provider oriented
Clinical multidisciplinary teams	99	100.0
Case management	17	17.2
Continuity of care	16	16.2
Communication and case discussion between distant health professionals	12	12.1
Revision of professional roles	11	11.1
Satisfaction of providers with the conditions of work and its material and psychic rewards	11	11.1
Skill mix changes	10	10.1
Formal integration of services	6	6.1
Arrangements for follow-up	5	5.1
Patient oriented
Presence and functioning of adequate mechanisms for dealing with client suggestions and complaints	12	12.1
Consumer participation in governance of healthcare organisation	1	1.0
Structural interventions
Changes in physical structure, facilities and equipment	23	23.2
Changes in scope and nature of benefits and services	19	19.2
Changes in medical record systems	16	16.2
Presence and organisation of quality monitoring mechanisms	15	15.2
Staff organisation	9	9.1
Other	4	4.0
Changes in the setting/site of service delivery	2	2.0
Ownership, accreditation, and affiliation status of hospitals and other facilities	1	1.0
Regulatory interventions
Management of patient complaints	4	4.0
Peer review	1	1.0