In 2005–07, researchers at the University of Wisconsin School of Medicine and Public Health developed a tool to measure the work environment of ambulatory care clinics. The tool identifies workplace factors that can affect the quality of care patients receive.
To develop the tool, the researchers relied on survey and medical record data from a larger project funded by the Agency for Healthcare Research and Quality (AHRQ), the Minimizing Error, Maximizing Outcome—or MEMO—study. The MEMO study determined the effect of the ambulatory care work environment on quality of care and the role of physicians as mediators of this effect. (Work on the tool began under the MEMO study.)
Researchers analyzed data from 422 family physicians and general internists and 96 clinic managers at clinics in New York City, Chicago and three locations in Wisconsin. The study also examined data on 1,796 patients with one or more of three medical conditions:
During the project, the researchers:
The main project result was the final development and refinement of the OWL, the Office & Work Life measure. "The OWL provides a roadmap for areas where quality is present and worklife is healthy, and to areas where both could be improved," according to the project team.
Project Director Mark Linzer, MD, described the OWL as "a snapshot of a clinic, showing what the physicians are experiencing, what the staff is experiencing and what the patients in the waiting room are experiencing."