Understanding quality improvement collaboratives through an implementation science lens.
Quality improvement collaboratives (QICs) have long been used to facilitate group learning and implementation of evidence-based interventions (EBIs) in healthcare. However, few studies systematically describe implementation strategies linked to QIC success. To address this gap, we evaluated a QIC on...
| Publicado en: | Preventive Medicine Vol. 129 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Academic Press Inc.
2019 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140375447&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140375447 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00917435 DP9 jtl: Preventive Medicine issn: 00917435 maglogo: N pubinfo: dt: 2019 Supplement vid: 129 pid: 735 pub: Academic Press Inc. place: Burlington, Massachusetts artinfo: ui: 140375447 140375447 NLM31655174 140375447 10.1016/j.ypmed.2019.105859 NLM31655174 140375447 ppct: 1 formats: tig: atl: Understanding quality improvement collaboratives through an implementation science lens. aug: au: Rohweder, Catherine Wangen, Mary Black, Molly Dolinger, Heather Wolf, Marti O'Reilly, Carey Brandt, Heather Leeman, Jennifer affil: University of North Carolina at Chapel Hill, 200 N. Greensboro St., Suite D-15, Room 212, Carrboro, NC 27510, United States of America sug: subj: Medical Practice, Evidence-Based Early Detection of Cancer Economics Colorectal Neoplasms Mortality Colorectal Neoplasms Diagnosis Quality Improvement Female North Carolina Middle Age Male Aged Community Health Centers Organizational Development Human Focus Groups Validation Studies Comparative Studies Evaluation Research Multicenter Studies Ferrans and Powers Quality of Life Index Impact of Events Scale Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Quality improvement collaboratives (QICs) have long been used to facilitate group learning and implementation of evidence-based interventions (EBIs) in healthcare. However, few studies systematically describe implementation strategies linked to QIC success. To address this gap, we evaluated a QIC on colorectal cancer (CRC) screening in Federally Qualified Health Centers (FQHCs) by aligning standardized implementation strategies with collaborative activities and measuring implementation and effectiveness outcomes. In 2018, the American Cancer Society and North Carolina Community Health Center Association provided funding, in-person/virtual training, facilitation, and audit and feedback with the goal of building FQHC capacity to enact selected implementation strategies. The QIC evaluation plan included a pre-test/post-test single group design and mixed methods data collection. We assessed: 1) adoption, 2) engagement, 3) implementation of QI tools and CRC screening EBIs, and 4) changes in CRC screening rates. A post-collaborative focus group captured participants' perceptions of implementation strategies. Twenty-three percent of North Carolina FQHCs (9/40) participated in the collaborative. Health Center engagement was high although individual participation decreased over time. Teams completed all four QIC tools: aim statements, process maps, gap and root cause analysis, and Plan-Do-Study-Act cycles. FQHCs increased their uptake of evidence-based CRC screening interventions and rates increased 8.0% between 2017 and 2018. Focus group findings provided insights into participants' opinions regarding the feasibility and appropriateness of the implementation strategies and how they influenced outcomes. Results support the collaborative's positive impact on FQHC capacity to implement QI tools and EBIs to improve CRC screening rates. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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