Sustainability of Change within a Quality Improvement Collaborative

质量改进协作中变革的可持续性

• 批准号: 8768586
• 负责人: James H Ford
• 金额: $ 20.31万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8768586
• 关键词: Address; Admission activity; Adoption; Affect; Alcoholism; Caring; Clinic; Community Health; Data; Diabetes Mellitus; Disease; Educational process of instructing; Effectiveness; Environment; Environmental Risk Factor; Evidence based practice; Exploratory/Developmental Grant; Failure; Foundations; Funding; Future; Goals; Improve Access; Individual; Institutionalization; Intervention; Interview; Learning; Link; Maintenance; Michigan; Modeling; National Institute of Drug Abuse; New York; Organizational Change; Organizational Innovation; Outcome; Patients; Policies; Process; Provider; Public Health; Qualitative Research; Research; Research Personnel; Resources; Services; Social Health Services; Structure; Substance abuse problem; Testing; Time; Washington; Work; addiction; cost; cost effective; design; experience; fundamental research; health organization; implementation research; improved; informant; innovation; interest; programs; public health relevance; randomized trial; substance abuse treatment; wasting

DESCRIPTION (provided by applicant): A multi-organizational quality improvement collaborative is a proven strategy for implementing organizational change. Failure to sustain improvements is a direct waste of invested resources, has costs associated with missed opportunities, and may affect an organization's ability to implement change in the future. Research on the effectiveness of quality improvement collaborative to promote long-term sustainment of change is lacking, however. Moreover, we do not yet understand what attributes--organizational, innovation or environmental-are the most important contributors to the ability of organizations to successfully sustain change following participation in quality improvement collaborative. This application is the next logical step for our research program, and explores the sustainment of organizational change in substance abuse clinics after their participation in the NIATx200 initiative - a quality improvement collaborative designed to test the effectiveness of four different implementation strategies to improve access to and retention in treatment. In this study, we will seek to answer a fundamental research question: Are changes implemented using the NIATx implementation strategy sustainable? Using longitudinal administrative data and key informant interviews, we will explore whether improvements experienced by NIATx200 clinics located in Michigan, New York and Washington were sustained following participation in a quality improvement collaborative, and to identify the environmental, organizational and innovation-related factors that influenced sustained improvements. Our research team has extensive expertise in performing quality improvement and research in addiction treatment, sustainability and state policy, and qualitative research. The findings will contribute to implementation research by exploring sustainment of change after participation in a quality improvement collaborative and by providing a broader understanding of sustainability of organizational change within substance abuse clinics. The current project represents a foundational step in the field of implementation research by enabling researchers and practitioners to improve quality improvement collaborative to enhance sustainability of change.

描述（由申请人提供）：多组织质量改进协作是实施组织变革的行之有效的策略。未能持续改进是对投入资源的直接浪费，会产生与错失机会相关的成本，并可能影响组织未来实施变革的能力。然而，缺乏对质量改进协作促进长期持续变革的有效性的研究。此外，我们还不知道什么属性-组织，创新或环境-是最重要的贡献者的能力，组织成功地维持变革后，参与质量改进协作。这个应用程序是我们的研究计划的下一个合乎逻辑的步骤，并探讨了 在药物滥用诊所参与NIATx 200倡议后，维持其组织变革-这是一项质量改进协作，旨在测试四种不同的实施战略的有效性，以改善获得治疗和保持治疗的机会。在这项研究中，我们将寻求回答一个基本的研究问题：使用NIATx实施战略实施的变化是可持续的吗？使用纵向管理数据和关键线人访谈，我们将探讨是否改善NIATx 200诊所位于密歇根州，纽约和华盛顿持续参与质量改进协作，并确定环境，组织和创新相关的因素，影响持续改善。我们的研究团队在成瘾治疗，可持续性和国家政策以及定性研究的质量改进和研究方面拥有广泛的专业知识。调查结果将有助于实施研究，探索可持续的变化后，参与质量改进协作，并提供更广泛的了解药物滥用诊所内的组织变革的可持续性。目前的项目是实施研究领域的基础性步骤，使研究人员和从业人员能够提高质量改进合作，以提高变革的可持续性。