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Erschienen in:

01.01.2010 | Original Article

Developing and Sustaining Quality Improvement Partnerships in the VA: The Colorectal Cancer Care Collaborative

verfasst von: George L. Jackson, PhD, MHA, Adam A. Powell, PhD, MBA, Diana L. Ordin, MD, MPH, James E. Schlosser, MD, MBA, Jeffery Murawsky, MD, Janis Hersh, MBA, George Ponte, RRT, Leah L. Zullig, MPH, Fabiane Erb, BA, Renee Parlier, RN, MSN, David A. Haggstrom, MD, MAS, Nancy Koets, PsyD, Peter D. Mills, PhD, MS, Joseph Francis, MD, MPH, Michael J. Kelley, MD, Michael L. Davies, MD, Dawn Provenzale, MD, MS, for the VA Colorectal Cancer Care Planning Committee Members

Erschienen in: Journal of General Internal Medicine | Sonderheft 1/2010

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Abstract

Objective

The Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) seeks to develop partnerships between VA health services researchers and clinical managers, with the goal of designing and evaluating interventions to improve the quality of VA health care.

Methods

In the present report we describe one such initiative aimed at enhancing the continuum of colorectal cancer (CRC) care, including diagnosis, treatment and surveillance–the Colorectal Cancer Care Collaborative (C4).

Results

We describe the process and thinking that led to two parallel quality improvement “collaboratives” that addressed (1) CRC screening and diagnostic follow-up and (2) the guideline concordance and timeliness of CRC treatment. Additionally, we discuss ongoing effort to spread lessons learned during the first stages of the project, which initially occurred at only a subset of VA facilities, throughout the VA health care system. The description of this initiative is organized around key questions that must be answered when developing, sustaining and spreading multi-component quality improvement interventions.

Conclusion

We conclude with a discussion of lessons learned that we believe would apply to similar initiatives elsewhere, even if they address different clinical issues in health care settings with different organizational structures.

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Titel: Developing and Sustaining Quality Improvement Partnerships in the VA: The Colorectal Cancer Care Collaborative
verfasst von: George L. Jackson, PhD, MHA
Adam A. Powell, PhD, MBA
Diana L. Ordin, MD, MPH
James E. Schlosser, MD, MBA
Jeffery Murawsky, MD
Janis Hersh, MBA
George Ponte, RRT
Leah L. Zullig, MPH
Fabiane Erb, BA
Renee Parlier, RN, MSN
David A. Haggstrom, MD, MAS
Nancy Koets, PsyD
Peter D. Mills, PhD, MS
Joseph Francis, MD, MPH
Michael J. Kelley, MD
Michael L. Davies, MD
Dawn Provenzale, MD, MS
for the VA Colorectal Cancer Care Planning Committee Members
Publikationsdatum: 01.01.2010
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe Sonderheft 1/2010
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-009-1155-x

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