Practice-based research networks add value to evidence-based quality improvement

Karen M Goldstein; Dawne Vogt; Alison Hamilton; Susan M Frayne; Jennifer Gierisch; Jill Blakeney; Anne Sadler; Bevanne M Bean-Mayberry; Diane Carney; Brooke DiLeone; Annie B Fox; Ruth Klap; Ellen Yee; Yasmin Romodan; Holly Strehlow; Julia Yosef; Elizabeth M Yano

doi:10.1016/j.hjdsi.2017.06.008

Journal article

Practice-based research networks add value to evidence-based quality improvement

Karen M Goldstein, Dawne Vogt, Alison Hamilton, Susan M Frayne, Jennifer Gierisch, Jill Blakeney, Anne Sadler, Bevanne M Bean-Mayberry, Diane Carney, Brooke DiLeone, …

Healthcare : the journal of delivery science and innovation, Vol.6(2), pp.128-134

06/2018

DOI: 10.1016/j.hjdsi.2017.06.008

PMID: 28711505

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https://www.ncbi.nlm.nih.gov/pmc/articles/7935418View

Open Access

Abstract

Evidence-Based Quality Improvement (EBQI) is a systematic, multilevel approach to implementing research evidence into clinical settings. Little is known about EBQI effectiveness in the context of Practice-Based Research Networks (PBRNs), which are themselves designed to foster practice-based change. We evaluated EBQI implementation in a PBRN setting to determine the extent to which the PBRN infrastructure added value. We conducted a four-site cluster randomized trial of an EBQI approach to tailoring an evidence-based gender awareness curriculum in the VA Women’s Health PBRN (WH-PBRN). After curriculum implementation, site teams identified impacts of the WH-PBRN context on EBQI processes using qualitative methods, including a formal review of project call minutes, post-project debriefing calls, and structured site team input. WH-PBRN site feedback was mapped to the Replicating Effective Programs implementation phases: pre-condition, pre-implementation, implementation, and maintenance/evolution. The pre-condition phase benefited from the existing WH-PBRN research-clinician relationships to facilitate stakeholder engagement and build project buy-in at local sites. During pre-implementation, differences across WH-PBRN sites offered variations in local tailoring of EBQI elements. The WH-PBRN Coordinating Center helped resolve process complexities stemming from local resource differences and the sharing of mid-project adaptations during implementation. Local efforts were amplified in the maintenance phase by WH-PBRN dissemination of findings. The PBRN strengthened multi-site EBQI activities across all implementation phases. PBRNs contribute to the uptake of evidence into everyday practice, and may serve as an important component of the future implementation of evidence-based initiatives. Level of evidence: V.

Evidence Based Quality Improvement

Practice Based Research Networks

Implementation

Details

Title: Subtitle: Practice-based research networks add value to evidence-based quality improvement
Creators: Karen M Goldstein - VA HSR&D Center for Health Services Research in Primary Care, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, USA
Dawne Vogt - Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA, USA
Alison Hamilton - VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Susan M Frayne - Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, USA
Jennifer Gierisch - VA HSR&D Center for Health Services Research in Primary Care, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, USA
Jill Blakeney - VA HSR&D Center for Health Services Research in Primary Care, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, USA
Anne Sadler - VA HSR&D Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Healthcare System, Iowa City, IA, USA
Bevanne M Bean-Mayberry - VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Diane Carney - Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, USA
Brooke DiLeone - Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA, USA
Annie B Fox - Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA, USA
Ruth Klap - VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Ellen Yee - VA Medical Center-New Mexico, Albuquerque, NM, USA
Yasmin Romodan - Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, USA
Holly Strehlow - VA HSR&D Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Healthcare System, Iowa City, IA, USA
Julia Yosef - VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Elizabeth M Yano - VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Resource Type: Journal article
Publication Details: Healthcare : the journal of delivery science and innovation, Vol.6(2), pp.128-134
DOI: 10.1016/j.hjdsi.2017.06.008
PMID: 28711505
NLM abbreviation: Healthc (Amst)
ISSN: 2213-0764
eISSN: 2213-0772
Publisher: Elsevier Inc
Grant note: name: Department of Veterans Affairs, Health Services Research and Development Services, award: 10–012; name: VA HSR&D Senior Research Career Scientist Award, award: #05–195; name: VA HSR&D Career Development Award, award: #13–263; DOI: 10.13039/100000025, name: National Institute of Mental Health, award: R25 MH080916-01A2
Language: English
Date published: 06/2018
Academic Unit: Psychiatry; Injury Prevention Research Center
Record Identifier: 9984003974402771

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