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Building System Capacity Through Continuous Quality Improvement

通过持续的质量改进建设系统能力

基本信息

批准号：
8653950
负责人：
Sarah Hunter
金额：
$ 26.05万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-05-15 至 2016-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8653950
关键词：
Address Adopted Aftercare Alcohol or Other Drugs use Businesses Caring Client Client satisfaction Clinic Collaborations Communities Community Services Cost Analysis County Data Evaluation Evidence based practice Evidence based treatment Funding Goals Health Personnel Health Services Healthcare Hospitals Institute of Medicine (U.S.)Intervention Knowledge Label Length of Stay Light Literature Los Angeles Monitor National Institute of Drug Abuse Outcome Outcome Measure Outpatients Participant Perception Phase Pilot Projects Prevention Primary Health Care Process Process Measure Quality Control Randomized Reporting Research Research Design Research Project Grants Resources Services Staff Attitudes Staging System Testing Training addiction base behavioral health climate change cost cost effective design health care delivery improved organizational climate programs substance abuse treatment treatment organization treatment program uptake

项目摘要

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.

描述（由申请人提供）：持续质量改进（CQI）已成为医疗保健服务的重要组成部分，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质量，我们建议对与社区药物滥用治疗提供者合作开发的CQI干预进行试点测试。在这项研究中，我们提出了以下目标：1）进行随机试点研究，以评估在何种程度上的CQI干预导致的过程和结果的改善; 2）调查CQI实施的可行性a）测量的过程和程度的CQI实施; B）估计所需的资源进行CQI; c）探索CQI的可持续性。该应用程序与PA-09-105“在物质滥用治疗和预防中实施循证实践的系统能力建设”的目标是一致的，因为它旨在支持在公共资助的物质滥用治疗环境中进行CQI干预的试点测试和实施评估。该项目旨在大大提高NIDA对将CQI纳入治疗提供环境中的常规和持续使用所需能力的理解，这将为随后的实施项目奠定基础，以更广泛地传播这些业务实践。