• Amelia Sattler, Anuradha Phadke, Jake Mickelsen, Timothy Seay-Morrison, Heather Filipowicz, Davis Chhoa, and Malathi Srinivasan.
• Stanford University School of Medicine, Palo Alto, CA, USA. amelia2@stanford.edu.
• J Gen Intern Med. 2024 May 1; 39 (6): 940950940-950.

BackgroundHealth system change requires quality improvement (QI) infrastructure that supports frontline staff implementing sustainable innovations. We created an 8-week rapid-cycle QI training program, Stanford Primary Care-Project Engagement Platform (PC-PEP), open to patient-facing primary care clinicians and staff.ObjectiveExamine the feasibility and outcomes of a scalable QI program for busy practicing providers and staff in an academic medical center.DesignProgram evaluation.ParticipantsA total of 172 PCPH team members: providers (n = 55), staff (n = 99), and medical learners (n = 18) in the Stanford Division of Primary Care and Population Health (PCPH) clinics, 2018-2021.Main MeasuresWe categorized projects by the Institute for Healthcare Improvement's (IHI) Quintuple Aim (QA): better health, better patient experience, lower cost of care, better care team experience, and improved equity/inclusion. We assessed project progress with a modified version of The Ottawa Hospital Innovation Framework: step 1 (identified root causes), step 2 (designed/tested interventions), step 3 (assessed project outcome), step 4 (met project goal with target group), step 5A (intervention(s) spread within clinic), step 5B (intervention(s) spread to different setting). Participants rated post-participation QI self-efficacy.Key ResultsWithin 1000 days, 172 unique participants completed 104 PC-PEP projects. Most projects aimed to improve patient health (55%) or care team experience (23%). Among projects, 9% reached step 1, 8% step 2, 16% step 3, 26% step 4, 21% step 5A, and 20% step 5B. Learner involvement increased likelihood of scholarly products (47% vs 10%). Forty-six of 47 (98%) survey respondents reported improved QI self-efficacy. Medical assistants, more so than physicians, reported feeling acknowledged by the health system for their QI efforts (100% vs 61%).ConclusionsWith appropriate QI infrastructure, scalable QI training models like Stanford PC-PEP can empower frontline workers to create meaningful changes across the IHI QA.© 2023. The Author(s), under exclusive licence to Society of General Internal Medicine.

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