Organizational Stages and Processes of Change for Continuous Quality Improvement in Health Care

Authors

Deborah A. Levesque, Pro Change Behavior Systems Incorporated
Janice M. Prochaska, Pro Change Behavior Systems Incorporated
James O. Prochaska, University of Rhode Island
Stephen R. Dewart, Moody and Pyle
Leigh S. Hamby
William B. Weeks

Document Type

Article

Date of Original Version

1-1-2001

Abstract

This article provides an overview of the transtheoretical model of change (TTM, or stage model) and how it can guide the development of stage-matched interventions to increase physicians' readiness for continuous quality improvement (CQI) in health care. In addition, this article describes the development and initial validation of two TTM measures-stages and processes of change-designed to assess the extent to which hospitals are engaging in activities that can facilitate individual providers' movement through the stages of change for CQI. A majority (57%) of informants reported that their organizations were in the maintenance stage for CQI. Organizational-level processes of change differed significantly across the stages: Hospitals in the precontemplation stage tended to use the processes least, and hospitals in the maintenance stage tended to use them most. © 2001 Educational Publishing Foundation and the Division of Consulting Psychology.

Publication Title, e.g., Journal

Consulting Psychology Journal

Volume

53

Issue

3

Citation/Publisher Attribution

Levesque, Deborah A., Janice M. Prochaska, James O. Prochaska, Stephen R. Dewart, Leigh S. Hamby, and William B. Weeks. "Organizational Stages and Processes of Change for Continuous Quality Improvement in Health Care." Consulting Psychology Journal 53, 3 (2001): 139-153. doi: 10.1037/1061-4087.53.3.139.