Motivational Interviewing and Quality Improvement Research

Abstract

Abstract This chapter outlines a variety of approaches to systematically measure the impact of motivational interviewing (MI) spirit and skills on clinical care, focusing not only on quality improvement (QI) techniques but also on research and implementation science frameworks. QI is designed to improve clinical outcomes in as close to real time as possible without necessarily generating new knowledge and is best applied in a clinical setting. Research is required when best practices are not clearly defined for a clinical environment or population and new knowledge must be discovered. Implementation science focuses on approaches to address challenges in the integration of new knowledge into practice. Putting the electronic health record to work allows for QI evaluation and feedback reporting through access to process measures and outcome measures. It is critical to have a foundation of a strong team with trusting relationships and flexible strategic planning.