A Learning Collaborative (LC) resulted in substantial improvements in adherence to treat to target (TTT) for management of rheumatoid arthritis (RA), according to a recent study. To that end, this study supports the use of an educational collaborative to improve quality. Researchers conducted a cluster-randomized quality improvement trial with wait-list control across 11 rheumatology sites in the US. The intervention entailed a 9-month group-based LC that incorporated rapid-cycle improvement methods. 5 sites with a total of 23 participating rheumatology providers were randomized to intervention and 6 sites with 23 participating rheumatology providers were randomized to the wait-list control. They found:

• The intervention included 320 patients and control, 321 patients.
• At baseline, the mean TTT implementation score was 11% in both arms; after the 9-month intervention, the TTT implementation score was 57% in intervention and 25% in control (change in score of 46% in the intervention arm and 14% in control).