The Model for Understanding Success in Quality (MUSIQ) was developed as part of a research study funded by the Robert Wood Johnson Foundation. MUSIQ is a conceptual model created to advance the understanding of the role of context in the evaluation and execution of quality improvement (QI) efforts.
Variation in the success of QI efforts has led to an appreciation of the importance of context in the effective implementation of QI methods. Characteristics of the organization, the environment, the individual and his or her role within the organization and QI team must be considered when studying and using QI methods in healthcare.
Developed using knowledge gained from a systematic review of the literature and engagement from a panel of QI experts, MUSIQ identifies 25 key contextual factors that influence QI success, organizes these factors based on the level of the healthcare system in which they are believed to operate, and outlines the mechanism of action by which these factors are believed to affect QI outcomes. MUSIQ was developed to align research and help practitioners manage the aspects of context that are influencing their QI efforts.
Heather Kaplan, MD, MSCE, and Peter Margolis, MD, PhD, were the principal investigators. Key collaborators included Craig Froehle, PhD, and Lloyd Provost, MS.
Publications and presentations related to the development of MUSIQ include:
- Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): Building a Theory of Context in Heath Care Quality Improvement. BMJ Quality & Safety, 2011 Aug 10.
- Kaplan HC, Brady P, Dritz M, Hooper DK, Linam WM, Froehle C, Margolis PA. The influence of context on quality improvement success in healthcare: a systematic review of the literature.The Milbank Quarterly. 2010; 88(4): 500-559.
- Kaplan HC, Margolis PA, Provost LP. “Successful Quality Improvement: MUSIQ to Your Ears,” Institute for Healthcare Improvement 23rd Annual National Forum, Dec. 6, 2011.
We have also created preliminary versions of an Excel tool and questionnaire that can be used to assess factors in MUSIQ. We welcome both researchers and those participating in QI efforts to use and adapt these tools to assess context in their QI efforts.
For additional information, contact Heather Kaplan.