Building System Capacity Through Continuous Quality Improvement

描述(申请人提供)：持续质量改进(CQI)已成为医疗保健提供的重要组成部分，但尚未完全融入社区药物滥用治疗环境。为了解决这一滞后问题并提高药物滥用治疗的提供质量，我们建议试行与社区药物滥用治疗提供者合作开发的CQI干预措施。在这项研究中，我们提出了以下目标：1)进行一项随机的初步研究，以评估CQI干预在多大程度上促进了过程和结果的改善；2)通过a)测量CQI实施的过程和程度；b)估计开展CQI所需的资源；c)探索CQI的可持续性，以调查CQI实施的可行性。这项申请与PA-09-105“在药物滥用治疗和预防中实施循证做法的系统能力建设”的目标一致，因为它寻求支持对公共资助的药物滥用治疗环境中的CQI干预进行试点测试和实施评估。该项目旨在显著促进NIDA对将CQI用于治疗提供环境的常规和持续使用所需能力的了解，这将为随后的实施项目奠定基础，以便更广泛地传播这些业务做法。

DESCRIPTION (provided by applicant): Continuous quality improvement (CQI) has become an important component to health care delivery but has yet to be fully integrated into community based substance abuse treatment settings. To address this lag and improve the quality of substance abuse treatment delivery, we propose to pilot test a CQI intervention that was developed in collaboration with community based substance abuse treatment providers. In this study, we propose the following aims: 1) Conduct a randomized pilot study to assess the extent to which the CQI intervention leads to process and outcome improvements; 2) Investigate the feasibility of CQI implementation by a) Measuring the process and extent of CQI implementation; b) Estimating the resources required to conduct CQI; c) Exploring CQI sustainability. This application is consistent with the goals of PA-09-105 "Building System Capacity for Implementing Evidence-Based Practices in Substance Abuse Treatment and Prevention" in that it seeks to support a pilot test and implementation evaluation of a CQI intervention in publicly funded substance abuse treatment settings. The project is designed to significantly advance NIDA's understanding of the capacity needed to put CQI into routine and sustained use in treatment delivery settings, which will lay the groundwork for subsequent implementation projects to disseminate these business practices more broadly.