Building System Capacity Through Continuous Quality Improvement

描述（由申请人提供）：持续质量改进（CQI）已成为卫生保健服务的重要组成部分，但尚未完全纳入以社区为基础的药物滥用治疗环境。为了解决这一滞后问题并提高药物滥用治疗的质量，我们建议与社区药物滥用治疗提供者合作开发一种CQI干预措施进行试点测试。在本研究中，我们提出以下目标：1)进行一项随机试点研究，以评估CQI干预导致过程和结果改善的程度；2)通过a)测量CQI实施的过程和程度，调查CQI实施的可行性；b)评估实施CQI所需的资源；c)探索CQI的可持续性。该申请符合PA-09-105“在药物滥用治疗和预防中实施循证实践的系统能力建设”的目标，因为它寻求支持在公共资助的药物滥用治疗环境中进行CQI干预的试点测试和实施评估。该项目旨在显著提高NIDA对将CQI纳入治疗提供环境中常规和持续使用所需能力的理解，这将为后续实施项目奠定基础，以更广泛地传播这些业务实践。

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. PUBLIC HEALTH RELEVANCE: Using a data-driven collaborative approach to managing service delivery may substantially impact addiction treatment quality. The proposed project sets out to pilot test a Continuous Quality Improvement approach in order to study its impact on addiction treatment processes and outcomes of care. Costs and the sustainability of the CQI approach will also be explored. The proposed project fulfills a critical knowledge gap by providing results about building addiction treatment organizational capacities to delivery high quality treatment.