National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Ambulatory Care and Surgery (1)
- Behavioral Health (1)
- Blood Thinners (1)
- Children/Adolescents (2)
- Clinical Decision Support (CDS) (1)
- Communication (2)
- Community Partnerships (1)
- Disabilities (1)
- Disparities (2)
- Elderly (1)
- Evidence-Based Practice (8)
- Healthcare Delivery (3)
- Health Information Technology (HIT) (3)
- Health Promotion (1)
- Health Services Research (HSR) (2)
- Health Systems (2)
- Home Healthcare (1)
- Hospitals (2)
- (-) Implementation (25)
- Maternal Care (1)
- Medication (1)
- Organizational Change (5)
- Pain (1)
- Patient-Centered Healthcare (3)
- Patient-Centered Outcomes Research (2)
- Patient Safety (1)
- Patient Self-Management (1)
- Practice-Based Research Network (PBRN) (2)
- Practice Improvement (2)
- Pressure Ulcers (1)
- Prevention (2)
- Primary Care (6)
- Provider: Health Personnel (1)
- Quality Improvement (3)
- Quality Measures (1)
- Quality of Care (4)
- Racial and Ethnic Minorities (2)
- Research Methodologies (1)
- Rural Health (1)
- Screening (1)
- Social Determinants of Health (1)
- Teams (1)
- TeamSTEPPS (1)
- Telehealth (1)
- Tools & Toolkits (1)
- Transitions of Care (1)
- Urban Health (1)
- Vulnerable Populations (2)
- Women (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 25 Research Studies DisplayedFrehn JL, Li JN, Liu KR
Implementation of a universal screening and follow-up care system for pediatric developmental and behavioral health in federally qualified health center sites.
This study assessed the results of implementing an intervention to increase screening of developmental delays in children at six federally qualified health center (FQHC) sites in Northern California from April 2014 to April 2017. The goals of the intervention were to increase (a) standardized developmental screening at recommended intervals and (b) follow-up care and support for early intervention services. The aim was to optimize each site's screening processes, supported by an automated electronic tablet-based system. Social workers were hired to conduct follow-up clinical assessments, provide psychosocial education and treatment, provide referrals, provide case management support, and collaborate with service partners. During the last year of the intervention, when tablet-based screening was adopted, the sites screened an estimated 6,550 children ages 0-18 at 23 intervals in three domains (developmental, autism, and psychosocial/behavioral), compared to a baseline where they screened children ages 0-3 at four intervals in one domain. Screening rates increased from 65.3% to 75.5% after automation was extended from the first to the second site and continued its’ increase to 91.8% after automation was expanded to the remaining sites. Ranges for follow-up visits were between 74% and 88%.
AHRQ-funded; HS000046.
Citation: Frehn JL, Li JN, Liu KR .
Implementation of a universal screening and follow-up care system for pediatric developmental and behavioral health in federally qualified health center sites.
Fam Syst Health 2023 Dec; 41(4):454-66. doi: 10.1037/fsh0000803..
Keywords: Children/Adolescents, Disabilities, Screening, Implementation
Goldberg DG, Owens-Jasey C, Haghighat S
Implementation strategies for large scale quality improvement initiatives in primary care settings: a qualitative assessment.
This study focused on gaining a comprehensive understanding of perspectives from research participants and research team members on the value of implementation strategies and factors that influenced the AHRQ-funded EvidenceNOW initiative in Virginia. The goal of EvidenceNOW’s Advancing Heart Health in Primary Care initiative is to assist primary care practices in the US in implementing evidence-based practices in cardiovascular care and building capacity for quality improvement. In 2018, the authors conducted 25 focus groups with clinicians and staff at participating practices, including 80 physicians, advanced practice clinicians, practice managers, and other practice staff. They also conducted face-to-face and telephone interviews with 22 research team members, including lead investigators, practice facilitators, physician expert consultants, and evaluators. They used the integrated-Promoting Action on Research Implementation in the Health Services (i-PARIHS) framework in their qualitative data analysis and organization of themes. Implementation strategies that were valued by both practice representatives and research team members included the kick-off event, on-site practice facilitation, and interaction with physician expert consults. Day-to-day activities often overwhelmed clinicians and staff, which hindered their ability to fully participate in the EvidenceNOW initiative.
AHRQ-funded; HS023913.
Citation: Goldberg DG, Owens-Jasey C, Haghighat S .
Implementation strategies for large scale quality improvement initiatives in primary care settings: a qualitative assessment.
BMC Prim Care 2023 Nov 17; 24(1):242. doi: 10.1186/s12875-023-02200-8..
Keywords: Quality Improvement, Primary Care, Quality of Care, Implementation
Lovero KL, Kemp CG, Wagenaar BH
Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.
The authors conducted a systematic literature review on the use of Expert Recommendations for Implementing Change (ERIC) project strategies for health intervention implementation in low- and middle-income countries (LMICs) in order to identify gaps and to inform future research. The results indicated that ERIC usage in LMICs is rapidly growing, but its application has not been consistently used to test strategy effectiveness. The authors recommended that future LMICs research test strategies need to be better specified, so they may be compared across contexts and their impact on outcomes evaluated.
AHRQ-funded; HS025632.
Citation: Lovero KL, Kemp CG, Wagenaar BH .
Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.
Implement Sci 2023 Oct 30; 18(1):56. doi: 10.1186/s13012-023-01310-2..
Keywords: Implementation, Evidence-Based Practice
Kim B, Cruden G, Crable EL
A structured approach to applying systems analysis methods for examining implementation mechanisms.
This article delineated a structured approach to applying systems analysis methods to examining implementation mechanisms. This approach included steps for selecting, tailoring, and evaluating an implementation strategy. The authors illustrated the approach by using an example case, then discussed the strengths and limitations of this approach, when each step might be appropriate. They suggested work that might extend systems analysis methods to the implementation mechanisms research.
AHRQ-funded; HS025632.
Citation: Kim B, Cruden G, Crable EL .
A structured approach to applying systems analysis methods for examining implementation mechanisms.
Implement Sci Commun 2023 Oct 19; 4(1):127. doi: 10.1186/s43058-023-00504-5..
Keywords: Implementation, Evidence-Based Practice, Health Systems
Tyler A, Jolles M
Methodological progress note: implementation science contributions to healthcare research and practice.
Existing research reflects that specific populations such as senior citizens, minorities, and rural Americans have proportionally less access to telehealth when compared to the average American. The purpose of this study was to explore specific strategies for overcoming barriers to telehealth access through an evaluation of data collected by a medical student-run telehealth education program. During the study period the researchers contacted 47 patients by telephone through the GET (Geriatric Education On Telehealth) Access Program. The study found 4 main themes during the discussions with patients, including: completion of registration steps, familiarity with accessing and using video conferencing software, attainment of proxy access for parents of a pediatric patient, and resolution of miscellaneous technical queries.
AHRQ-funded; HS026512.
Citation: Tyler A, Jolles M .
Methodological progress note: implementation science contributions to healthcare research and practice.
J Hosp Med 2023 Oct; 18(10):920-25. doi: 10.1002/jhm.13147..
Keywords: Implementation, Health Services Research (HSR), Evidence-Based Practice
Johnson PT, Conway SJ, Berkowitz SA
Transforming health care from volume to value: a health system implementation road map.
The mission of the High Value Practice Academic Alliance is to 1) rapidly disseminate effective value-based performance improvement processes to safely decrease the cost of care for patients, and 2) train the next generation of physicians in principles of high value practice. The organization convened 100 academic medical center partners, and after 5 years of practice, opened membership to any medical center and became the High Value Practice Alliance. In 2021 and 2022, directors of the alliance devoted educational programs of the annual conference to developing a care delivery roadmap identifying the strategies and programs required to maximize resource use, clinical effectiveness, and care coordination. The group is now publishing the “playbook” as a series of focused articles, a comprehensive framework to improve the health care value in a delivery system. This playbook includes 3 performance improvement approaches: 1) resource focused, 2) infrastructure focused, and 3) condition focused. The Transforming Healthcare from Volume to Value: a Health System Implementation RoadMap manuscript series will address each of the strategies and relevant programs.
AHRQ-funded; HS029151; HS026350.
Citation: Johnson PT, Conway SJ, Berkowitz SA .
Transforming health care from volume to value: a health system implementation road map.
Am J Med 2023 Aug; 136(8):763-67. doi: 10.1016/j.amjmed.2023.04.030..
Keywords: Health Systems, Implementation, Healthcare Delivery
Rome D, Sales A, Cornelius T
Impact of telemedicine modality on quality metrics in diverse settings: implementation science-informed retrospective cohort study.
The objective of this study was to assess telemedicine uptake during the COVID-19 pandemic and impact of visit modality on primary care quality metrics in diverse, low socioeconomic status settings. Research was informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Researchers found that there were marginally better quality metrics for in-person care versus video and phone visits, and that de-adoption of telemedicine was marked within 2 years in the study population. They concluded that the impact of visit modality on quality outcomes, provider and patient preferences, and technological barriers in historically marginalized settings should be considered.
AHRQ-funded; HS025198.
Citation: Rome D, Sales A, Cornelius T .
Impact of telemedicine modality on quality metrics in diverse settings: implementation science-informed retrospective cohort study.
J Med Internet Res 2023 Jul 26; 25:e47670. doi: 10.2196/47670..
Keywords: Telehealth, Health Information Technology (HIT), Implementation, Quality Measures, Quality of Care
Lin YJ, Ranusch A, Seagull FJ
Dynamic interplay between available resources and implementation climate across phases of implementation: a qualitative study of a VA national population health tool.
This study analyzed the factors that may determine successful implementation of an intervention by examining the co-occurrence patterns between available resources and implementation climate across different implementation phases. There have been very few studies that have investigated how the required resources change over the phases of implementation. The authors conducted a secondary analysis of interviews that were conducted with 20 anticoagulation professionals at 17 clinical sites in the Veterans Health Administration health system about their experiences with a population health dashboard for anticoagulant management. Key relationships between available resources and implementation climate were identified and summarized. Resources necessary to support the successful implementation of an intervention were found to not be static, Both quantity and types of resources shift based on the phases of the intervention. Increased resource availability does not guarantee the sustainment of intervention success. New technological interventions require resources in the form of technological support and social/emotional support to help users establish trust. Resources that foster and maintain collaboration between users and other stakeholders can help them stay motivated during sustainment.
AHRQ-funded; HS026874.
Citation: Lin YJ, Ranusch A, Seagull FJ .
Dynamic interplay between available resources and implementation climate across phases of implementation: a qualitative study of a VA national population health tool.
Implement Sci Commun 2023 Jun 29; 4(1):74. doi: 10.1186/s43058-023-00460-0..
Keywords: Implementation, Health Information Technology (HIT)
Blebu BE, Liu PY, Harrington M
Implementation of cross-sector partnerships: a description of implementation factors related to addressing social determinants to reduce racial disparities in adverse birth outcomes.
The purpose of this mixed methods design study was to integrate the perspectives of healthcare staff and community-based partner organizations to describe the implementation of a cross-sector partnership developed for the purpose of addressing social and structural determinants in pregnancy. The researchers utilized in-depth interviews and social network analysis to incorporate the perspectives of healthcare clinicians and staff with the views of community-based partner organizations to identify implementation factors related to cross-sector partnerships. The study identified 7 implementation variables related to 3 themes: strengths of a network approach to cross-sector collaboration, relationship-centered care, and barriers and facilitators of cross-sector partnerships. The study results highlighted establishing relationships between healthcare staff, patients, and community-based partner organizations.
AHRQ-funded; HS026407.
Citation: Blebu BE, Liu PY, Harrington M .
Implementation of cross-sector partnerships: a description of implementation factors related to addressing social determinants to reduce racial disparities in adverse birth outcomes.
Front Public Health 2023 Jun 16; 11:1106740. doi: 10.3389/fpubh.2023.1106740..
Keywords: Social Determinants of Health, Disparities, Racial and Ethnic Minorities, Maternal Care, Women, Implementation
Gustavson AM, Vincenzo J, Miller MJ
Equitable implementation of innovations to promote successful aging in place.
The growing and diversifying older adult population in the United States necessitates equitable and effective care strategies to support aging-in-place. However, evidence-based innovations developed with equity in mind may not translate to equitable implementation due to different contextual barriers experienced by a diverse population of older adults. This paper aims to (1) define the concept of "equitable implementation" and identify current equity gaps in aging research and (2) present a customizable research logic model that can guide the equitable implementation and scaling of aging innovations. The proposed logic model, informed by the Health Equity Implementation Framework, offers a structured approach to identify determinants of equitable implementation, select implementation strategies, examine hypothesized mechanisms of change, and evaluate outcomes across individual, implementation, and population levels. The application of this logic model will advance the development, implementation, and evaluation of equitable innovations to support aging-in-place for all older adult populations, particularly those most marginalized.
AHRQ-funded; HS026379.
Citation: Gustavson AM, Vincenzo J, Miller MJ .
Equitable implementation of innovations to promote successful aging in place.
J Am Geriatr Soc 2023 Feb; 71(2):683-88. doi: 10.1111/jgs.18177..
Keywords: Elderly, Implementation
Dorsch MP, Chen CS, Allen AL
Nationwide implementation of a population management dashboard for monitoring direct oral anticoagulants: Insights from the Veterans Affairs health system.
Although they exhibit a robust efficacy and safety profile, prescribing Direct oral anticoagulants (DOACs) in accordance with evidence-based practices can be difficult due to varying dosage requirements based on factors like indication, renal function, and drug interactions. To assist pharmacists in reviewing anticoagulant prescriptions, the Veterans Health Affairs (VHA) created and deployed a population management dashboard that displays information on DOACs, prescribed dosages, renal function, age, weight, potential drug interactions, and refill needs. This dashboard operates as a standalone system. The purpose of this study was to assess the DOAC dashboard using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, analyzing login data from the dashboard. The study found that from August 2016 to June 2020, 150 out of 164 VHA sites utilized the dashboard, with an average of 1875 patients per site. The dashboard was introduced to sites in a staggered manner. Moderate or high adoption, defined as logging in on at least two separate days per month, started slowly with 3 out of 5 pilot sites but quickly rose to 142 out of 150 (94.7%) sites by June 2020. The mean number of unique users per site grew from 2.4 to 7.5 during the study. By the end of the research period, 126 out of 150 (84.0%) sites maintained moderate to high adoption of the dashboard for over six months. The researchers concluded that the population health dashboard for evidence-based anticoagulant prescribing witnessed rapid and sustained implementation and adoption across the national VHA health system in the United States. Investigating the tool's impact on clinical outcomes and replicating this care model in other healthcare systems would be crucial for widespread dissemination and adoption.
AHRQ-funded; HS026874.
Citation: Dorsch MP, Chen CS, Allen AL .
Nationwide implementation of a population management dashboard for monitoring direct oral anticoagulants: Insights from the Veterans Affairs health system.
Circ Cardiovasc Qual Outcomes 2023 Feb; 16(2):e009256. doi: 10.1161/circoutcomes.122.009256..
Keywords: Blood Thinners, Medication, Implementation
Starmer AJ, Spector ND, O'Toole JK
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.
The purpose of this study was to assess I-PASS patient handoff intervention implementation across diverse settings to evaluate whether there it impacted pediatric patient safety and communication. External teams provided coaching over 18 months to hospital residents from diverse specialties across 32 hospitals (12 community, 20 academic) with 2735 resident physicians and 760 faculty champions from multiple specialties (16 internal medicine, 13 pediatric, 3 other) participating. The researchers collected 1942 error surveillance reports. Following I-PASS implementation, major and minor handoff-related reported adverse events decreased 47%. Intervention implementation was related with increased inclusion of all five key handoff data elements in verbal and written handoffs, as well as increased frequency of handoffs with high quality verbal and written patient summaries, verbal and written contingency plans, and verbal receiver syntheses.
AHRQ-funded; HS023291.
Citation: Starmer AJ, Spector ND, O'Toole JK .
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.
J Hosp Med 2023 Jan; 18(1):5-14. doi: 10.1002/jhm.12979..
Keywords: Transitions of Care, Implementation, Communication
Rizk S, Kaelin VC, Sim JGC
Implementing an electronic patient-reported outcome and decision support tool in early intervention.
The study’s aim was to identify and prioritize early intervention (EI) stakeholders' perspectives of supports and barriers to implementing the Young Children's Participation and Environment Measure (YC-PEM), an electronic patient-reported outcome (e-PRO) tool, for scaling its implementation across multiple local and state EI programs. A mixed-methods study was conducted with EI families (n = 6), service coordinators (n = 9), and program leadership (n = 7). Semi-structured interviews and focus groups were conducted and used to share quantitative trial results. All three stakeholder groups identified thematic supports and barriers across multiple constructs within each of four Consolidated Framework for Implementation Research (CFIR) domains: (1) Six themes for "intervention characteristics," (2) Six themes for "process," (3) Three themes for "inner setting," and (4) Four themes for "outer setting." Priorities from stakeholders included prioritized reaching families with diverse linguistic preferences and user navigation needs, further tailoring its interface with automated data capture and exchange processes ("process"); and fostering a positive implementation climate ("inner setting"). Improving EI access (“outer setting”) using YC-PEM e-PRO results was also articulated by service coordinators and program leadership.
AHRQ-funded; HS027583.
Citation: Rizk S, Kaelin VC, Sim JGC .
Implementing an electronic patient-reported outcome and decision support tool in early intervention.
Appl Clin Inform 2023 Jan; 14(1):91-107. doi: 10.1055/s-0042-1760631..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Children/Adolescents, Evidence-Based Practice, Patient-Centered Outcomes Research, Implementation
Soban LM, Kim L, Yuan AH
Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.
The researchers describe the presence and operationalisation of organisational strategies to support implementation of pressure ulcer prevention programmes across acute care hospitals in a large, integrated health-care system. Organisational strategies that support implementation of a pressure ulcer prevention programme (policy, committee, staff education, wound care specialists, and use of performance data) were reported at high level.
AHRQ-funded; HS000046.
Citation: Soban LM, Kim L, Yuan AH .
Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.
J Nurs Manag 2017 Sep;25(6):457-67. doi: 10.1111/jonm.12416.
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Keywords: Pressure Ulcers, Prevention, Hospitals, Patient Safety, Implementation, Organizational Change
Castro FG, Yasui M
Advances in EBI development for diverse populations: towards a science of intervention adaptation.
This introduction examines major issues and challenges as presented in this special issue of Prevention Science, "Challenges to the Dissemination and Implementation of Evidence Based Prevention Interventions for Diverse Populations." The authors describe the Fidelity-Adaptation Dilemma that generated controversies and debates and new perspectives on the dissemination and implementation of evidence-based interventions (EBIs) within diverse populations. The five articles in this special issue address many of these controversies and challenges.
AHRQ-funded; HS023007.
Citation: Castro FG, Yasui M .
Advances in EBI development for diverse populations: towards a science of intervention adaptation.
Prev Sci 2017 Aug;18(6):623-29. doi: 10.1007/s11121-017-0809-x.
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Keywords: Communication, Disparities, Evidence-Based Practice, Patient-Centered Outcomes Research, Prevention, Racial and Ethnic Minorities, Implementation
Davis MM, Howk S, Spurlock M
A qualitative study of clinic and community member perspectives on intervention toolkits: "unless the toolkit is used it won't help solve the problem.".
Researchers conducted this study to explore what clinic and community-based users want in intervention toolkits and to identify the factors that support application in practice. They found that participants wanted toolkits targeted at the right audience and demonstrated to be effective. Well organized toolkits, often with a quick start guide, with tools that were easy to tailor and apply were desired.
AHRQ-funded; HS022981.
Citation: Davis MM, Howk S, Spurlock M .
A qualitative study of clinic and community member perspectives on intervention toolkits: "unless the toolkit is used it won't help solve the problem.".
BMC Health Serv Res 2017 Jul 18;17(1):497. doi: 10.1186/s12913-017-2413-y.
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Keywords: Provider: Health Personnel, Ambulatory Care and Surgery, Primary Care, Tools & Toolkits, Implementation
Hoff T, Scott S
The strategic nature of individual change behavior: how physicians and their staff implement medical home care.
The purpose of this study was to gain insight into patient-centered medical home (PCMH) implementation at the workplace level by understanding better how primary care physicians and staff perceive, experience, and use certain types of PCMH work for adapting to new demands. The investigators indicated that the findings showed that particular forms of PCMH work not only advanced patient care in favorable ways but also enhanced individual and organizational capacity for adapting to this innovative model and its demands.
AHRQ-funded; HS020931.
Citation: Hoff T, Scott S .
The strategic nature of individual change behavior: how physicians and their staff implement medical home care.
Health Care Manage Rev 2017 Jul/Sep;42(3):226-36. doi: 10.1097/hmr.0000000000000109..
Keywords: Patient-Centered Healthcare, Primary Care, Organizational Change, Practice Improvement, Implementation
Payan DD, Sloane DC, Illum J
Catalyzing implementation of evidence-based interventions in safety net settings: a clinical-community partnership in South Los Angeles.
This study was a process evaluation of a clinical-community partnership that implemented evidence-based interventions in clinical safety net settings. Key participants and health care providers, involved in the study, expressed a high level of satisfaction with the collaborative and the interventions, respectively. The authors provide key lessons learned for researchers and practitioners interested in partnering with Federally Qualified Health Centers to implement health promotion interventions.
AHRQ-funded; HS000046.
Citation: Payan DD, Sloane DC, Illum J .
Catalyzing implementation of evidence-based interventions in safety net settings: a clinical-community partnership in South Los Angeles.
Health Promot Pract 2017 Jul;18(4):586-97. doi: 10.1177/1524839917705418.
Keywords: Community Partnerships, Health Promotion, Evidence-Based Practice, Vulnerable Populations, Implementation
Kerrissey M, Satterstrom P, Leydon N
Integrating: a managerial practice that enables implementation in fragmented health care environments.
This inductive qualitative study examines primary care clinics implementing improvement efforts in order to identify mechanisms that enable implementation despite common barriers, such as lack of time and fragmentation across stakeholder groups. It found that successfully implementing clinics exhibited the managerial practice of integrating, which was defined as achieving unity of effort among stakeholder groups in the pursuit of a shared and mutually developed goal.
AHRQ-funded; HS019508.
Citation: Kerrissey M, Satterstrom P, Leydon N .
Integrating: a managerial practice that enables implementation in fragmented health care environments.
Health Care Manage Rev 2017 Jul/Sep;42(3):213-25. doi: 10.1097/hmr.0000000000000114.
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Keywords: Primary Care, Quality Improvement, Organizational Change, Implementation, Quality of Care
Kost RG, Leinberger-Jabari A, Evering TH
Helping basic scientists engage with community partners to enrich and accelerate translational research.
In 2009, The Rockefeller University Center for Clinical and Translational Science partnered with Clinical Directors Network, a practice-based research network (PBRN), to create a community-engaged research navigation (CEnR-Nav) program to foster research pairing basic science and community-driven scientific aims. The program is led by an academic navigator and a PBRN navigator. This paper reports on its activities.
AHRQ-funded; HS021667.
Citation: Kost RG, Leinberger-Jabari A, Evering TH .
Helping basic scientists engage with community partners to enrich and accelerate translational research.
Acad Med 2017 Mar;92(3):374-79. doi: 10.1097/acm.0000000000001200.
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Keywords: Practice-Based Research Network (PBRN), Research Methodologies, Implementation
Clark KD, Miller BF, Green LA
Implementation of behavioral health interventions in real world scenarios: managing complex change.
This paper reports the change management strategies employed by practice leaders making changes to integrate care, as observed by independent investigators. It offers an empirically based set of actionable recommendations that are relevant to a range of leaders (policymakers, medical directors) and practice members who wish to effectively manage the complex changes associated with integrated primary care.
AHRQ-funded; HS022981.
Citation: Clark KD, Miller BF, Green LA .
Implementation of behavioral health interventions in real world scenarios: managing complex change.
Fam Syst Health 2017 Mar;35(1):36-45. doi: 10.1037/fsh0000239.
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Keywords: Behavioral Health, Patient-Centered Healthcare, Primary Care, Implementation, Organizational Change, Healthcare Delivery
Leroy L, Rittner JL, Johnson KE
AHRQ Author: Miller T
Facilitative components of collaborative learning: A review of nine health research networks.
This paper explored the characteristics and collaborative learning approaches of nine health research networks. It found that face-to-face meetings, intentional facilitation and communication, shared vision, trust among members and willingness to work together were key facilitators of collaborative learning. Competing priorities for members, limited funding and lack of long-term support and geographic dispersion were the main barriers to coordination and collaboration across research network members.
AHRQ-authored.
Citation: Leroy L, Rittner JL, Johnson KE .
Facilitative components of collaborative learning: A review of nine health research networks.
Healthc Policy 2017 Feb;12(3):19-33.
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Keywords: Health Services Research (HSR), Implementation, Practice-Based Research Network (PBRN)
Beissner KL, Bach E, Murtaugh CM, Trifilio M, Hend KL, Bach E, Murtaugh CM
Translating evidence-based protocols into the home healthcare setting.
A comparative effectiveness study was undertaken at a large urban home care agency to examine an evidence-based pain self-management program delivered by physical therapists (PTs). This article focuses on PT training, methods implemented to reinforce content after training and to encourage uptake of the program with appropriate patients, and therapists' fidelity to the program.
AHRQ-funded; HS020648.
Citation: Beissner KL, Bach E, Murtaugh CM, Trifilio M, Hend KL, Bach E, Murtaugh CM .
Translating evidence-based protocols into the home healthcare setting.
Home Healthc Now 2017 Feb;35(2):105-12. doi: 10.1097/nhh.0000000000000486..
Keywords: Evidence-Based Practice, Home Healthcare, Pain, Patient Self-Management, Implementation
Quigley DD, Predmore ZS, Chen AY
Implementation and sequencing of practice transformation in urban practices with underserved patients.
Researchers conducted interviews at 14 primary care practices undergoing patient-centered medical home (PCMH) transformation in a large urban federally qualified health center in California and used grounded theory to identify common themes and patterns. They concluded that full PCMH transformation took time and effort and relied on a sequential approach, with an early focus on foundational changes that included use of a robust quality improvement strategy.
AHRQ-funded; HS000029.
Citation: Quigley DD, Predmore ZS, Chen AY .
Implementation and sequencing of practice transformation in urban practices with underserved patients.
Qual Manag Health Care 2017 Jan/Mar;26(1):7-14. doi: 10.1097/qmh.0000000000000118.
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Keywords: Patient-Centered Healthcare, Urban Health, Vulnerable Populations, Practice Improvement, Organizational Change, Quality Improvement, Quality of Care, Primary Care, Healthcare Delivery, Implementation, Teams
Ward MM, Baloh J, Zhu X
Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.
An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by AHRQ. The authors apply the Promoting Action on Research Implementation in Health Services (PARIHS) framework in studying its implementation to identify elements that are most closely related to successful implementation. The current findings provide support for the PARIHS framework.
AHRQ-funded; HS018396.
Citation: Ward MM, Baloh J, Zhu X .
Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.
Health Care Manage Rev 2017 Jan/Mar;42(1):2-13. doi: 10.1097/hmr.0000000000000086.
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Keywords: Evidence-Based Practice, Hospitals, Rural Health, TeamSTEPPS, Implementation