Consortium to Disseminate and Understand Implementation of Opioid Use Disorder Treatment
Consortium to Disseminate and Understand Implementation of Opioid Use Disorder Treatment
批准号:
10181067
负责人:
WILLIAM C BECKER
金额:
$0.0万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
已结题
起止时间:
2019-10-01 至 2022-09-30
关键词:
Academic DetailingAccident and Emergency departmentAddressAdoptedAdoptionAlternative TherapiesAreaBudgetsBuprenorphineCaringClinicClinicalCollaborationsCommunicationComplexConsolidated Framework for Implementation ResearchContinuity of Patient CareCritical CareDataEconomicsEducationEducational MaterialsEvaluationEvidence based practiceEvidence based treatmentFaceFeedbackFutureGoalsHealthImprove AccessInpatientsInvestmentsLeadLeadershipLifeManualsMeasurableMeasurementMeasuresMental HealthMethodsModelingMorbidity - disease rateOpioidOutcomePain managementPatientsPharmaceutical PreparationsPhasePilot ProjectsPrimary Health CareProceduresProcessProviderReach, Effectiveness, Adoption, Implementation, and MaintenanceRegimenResearchRuralSafetySavingsScienceSiteStructureSubstance Use DisorderSuicide preventionSystemTechniquesTrainingVeteransVeterans Health AdministrationWorkacute carebasechronic painchronic pain managementcostcost estimatedesigneffective therapyeffectiveness evaluationevidence baseformative assessmentimplementation costimplementation effortsimplementation facilitationimplementation scienceimplementation strategyimprovedinnovationmedical specialtiesmeetingsmortalitymultidisciplinaryoperationopioid useopioid use disorderprescription opioidprimary outcomeproduct developmentprogramsscale upsecondary outcomestandardize measuresynergismtelehealthtooluptake
中文摘要
点击翻译按钮获取中文摘要
英文摘要
Opioid use disorder (OUD) is a major cause of morbidity and mortality among Veterans and a high-priority
target for quality improvement in the Veterans Health Administration (VHA). Effective medications for OUD
(MOUD) are available but uptake of them has been highly variable across VHA. Additionally, VHA has been at
the forefront in the U.S. in promoting alternative therapies for pain, but these are not consistently available to
Veterans in great need of them: those with chronic pain and harmful opioid use. VHA, through its Office of
Mental Health and Suicide Prevention, has made access to MOUD for all Veterans who need it a system-wide
priority. However, successful implementation of complex care processes that face myriad barriers requires
intentional, structured, evidence-based implementation efforts carried out by expert teams in close partnership
with local leadership.
As such, the overarching goal of this project – the Consortium to Disseminate and Understand
Implementation of Opioid Use Disorder Treatment (CONDUIT) -- is to unite five inter-related VISN/QUERI pilot
Partnered Implementation Initiative projects in a concerted effort to improve access to MOUD among Veterans
with OUD and access to alternative therapies for pain in 57 VHA sites spanning six VISNs. CONDUIT will span
four critical care settings in the OUD continuum of care: Primary Care; Specialty Care; Acute Care (inpatient
and Emergency Department); and Telehealth. These efforts will be connected by Veteran Engagement,
Implementation, and Quantitative/Economic Cores that will help CONDUIT teams harmonize on metrics,
processes and outcomes. There will also be a Strategic Advisory Group composed of Operations leaders and
Veterans that will help CONDUIT remain maximally aligned with VHA and Veteran priorities. CONDUIT will
also offer sites the opportunity to implement new evidence-based practices (i.e. ones that were not part of
initial launch) in the latter half of the project period.
The methods deployed by each of the CONDUIT teams will be similar: expert “external facilitation” teams
will lead partnered “internal facilitation” teams at local sites in a process called “Implementation Facilitation (IF)”
– a multi-component suite of tools aimed to help the sites effectively adopt evidence-based practices. The five
projects piloted and systematically modified IF strategies in Phase 1 and now propose to disseminate those
sharpened strategies on a national scale over the next three years, including two new VISNs and dozens of
additional sites. In terms of evaluation, CONDUIT will use well-established formative evaluation methods to
assess the effectiveness of and to drive refinements to the IF strategies. Additionally, CONDUIT will use
cutting edge quantitative methods to assess the impact the work on important clinical targets and to assess the
value of the work in terms of costs vs. benefits. Throughout the project period, teams will develop and refine
products such as patient and provider educational materials, prescribing and communication guides, and clinic
operations manuals. These evaluation and product development efforts will prime successful scale-up and
dissemination efforts throughout VHA.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Multilevel Interventions to Reduce Harm and Improve Quality of Life for Patients on Long Term Opioid Therapy - Yale Resource Center (MIRHIQL-YRC)
-
批准号:10722768
-
项目类别:
-
资助金额:$462.63万
-
财政年份:2023
-
负责人:WILLIAM C BECKER
-
依托单位:
HD2A Research Adoption Support Center (RASC)
-
批准号:10708980
-
项目类别:
-
资助金额:$312.38万
-
财政年份:2022
-
负责人:WILLIAM C BECKER
-
依托单位:
Role of Non-pharmacological Pain Treatments in Safe and Effective Opioid Tapering in Chronic Pain
-
批准号:10620195
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2022
-
负责人:WILLIAM C BECKER
-
依托单位:
HD2A RASC - Pain Implementation Support Core
-
批准号:10596438
-
项目类别:
-
资助金额:$61.88万
-
财政年份:2022
-
负责人:WILLIAM C BECKER
-
依托单位:
HD2A Research Adoption Support Center (RASC)
-
批准号:10596435
-
项目类别:
-
资助金额:$331.1万
-
财政年份:2022
-
负责人:WILLIAM C BECKER
-
依托单位:
HD2A RASC - Pain Implementation Support Core
-
批准号:10708984
-
项目类别:
-
资助金额:$58.01万
-
财政年份:2022
-
负责人:WILLIAM C BECKER
-
依托单位:
HEAL Initiative: Integrative Management of chronic Pain and OUD for Whole Recovery (IMPOWR): Research Centers
-
批准号:10876682
-
项目类别:
-
资助金额:$229.82万
-
财政年份:2021
-
负责人:WILLIAM C BECKER
-
依托单位:
HEAL Initiative: Integrative Management of chronic Pain and OUD for Whole Recovery (IMPOWR): Research Centers
-
批准号:10652027
-
项目类别:
-
资助金额:$16.36万
-
财政年份:2021
-
负责人:WILLIAM C BECKER
-
依托单位:
HEAL Initiative: Integrative Management of chronic Pain and OUD for Whole Recovery (IMPOWR): Research Centers
-
批准号:10378910
-
项目类别:
-
资助金额:$476.14万
-
财政年份:2021
-
负责人:WILLIAM C BECKER
-
依托单位:
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in Veterans
-
批准号:10090568
-
项目类别:
-
资助金额:$140.46万
-
财政年份:2020
-
负责人:WILLIAM C BECKER
-
依托单位:
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in Veterans
-
批准号:10533361
-
项目类别:
-
资助金额:$129.84万
-
财政年份:2020
-
负责人:WILLIAM C BECKER
-
依托单位:
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in Veterans
-
批准号:10331788
-
项目类别:
-
资助金额:$135.7万
-
财政年份:2020
-
负责人:WILLIAM C BECKER
-
依托单位:
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in Veterans
-
批准号:10063326
-
项目类别:
-
资助金额:$150.49万
-
财政年份:2020
-
负责人:WILLIAM C BECKER
-
依托单位:
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in Veterans
-
批准号:10222866
-
项目类别:
-
资助金额:$14.26万
-
财政年份:2020
-
负责人:WILLIAM C BECKER
-
依托单位:
Video-Telecare Collaborative Pain Management to Improve Function and Reduce Opioid Risk in Patients with End Stage Renal Disease Receiving Hemodialysis
-
批准号:9902084
-
项目类别:
-
资助金额:$260.13万
-
财政年份:2019
-
负责人:WILLIAM C BECKER
-
依托单位:
Identifying Opioid Overdose Predictors using EHRs
-
批准号:10372973
-
项目类别:
-
资助金额:$56.29万
-
财政年份:2018
-
负责人:WILLIAM C BECKER
-
依托单位:
Identifying Opioid Overdose Predictors using EHRs
-
批准号:9895708
-
项目类别:
-
资助金额:$58.21万
-
财政年份:2018
-
负责人:WILLIAM C BECKER
-
依托单位:
Development and pilot testing of LIMIT: a multicomponent tool to support opioid tapering
-
批准号:10051325
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2018
-
负责人:WILLIAM C BECKER
-
依托单位:
Development and pilot testing of LIMIT: a multicomponent tool to support opioid tapering
-
批准号:10476988
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2018
-
负责人:WILLIAM C BECKER
-
依托单位:
Pain-related Anxiety Invervention for Smokers with Chronic Pain: A Comparative Effectiveness Trial of Smoking Cessation Counseling for Veterans
-
批准号:10183314
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2017
-
负责人:WILLIAM C BECKER
-
依托单位: