A1 Introduction
David Chambers1, Lisa Simpson2, Gila Neta1
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, 20850, USA; 2AcademyHealth, Washington, DC, 20009, USA
D1 Balancing adaptation and fidelity: Exploring the continuum
Ulrica von Thiele Schwarz1, Antoinette Percy-Laurry2, Gregory A. Aarons3
1Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, 17177, Sweden; 2Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, 20850, USA; 3Department of Psychiatry, University of California San Diego, San Diego, CA, 92093, USA
D2 Novel directions in dissemination research
Gila Neta1, Ross Brownson2
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, 20850, USA; 2George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, 63130, USA
D3 Planning for the long-term: considering sustainment
Amanda Vogel1, Shannon Wiltsey Stirman2
1Center for Global Health, National Cancer Institute, Rockville, MD, 20850, USA; 2Dissemination and Training Division, VA National Center for PTSD, Palo Alto, CA, 94305, USA
D4 Addressing education and training needs in implementation science
Kenneth Sherr1, Rachel Sturke2
1Department of Global Health, University of Washington, Seattle, WA, 98105, USA; 2Center for Global Health Studies, Fogarty International Center, National Institutes of Health, Bethesda, MD, 20912, USA
D5 De-implementation
Wynne E. Norton1, Allyson Varley2, David Chambers1
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, 20850, USA; 2School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35243, USA
D6 Designing for dissemination and implementation
Cynthia Vinson1, Lisa Klesges1,2, Suzanne Heurtin-Roberts1
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, 20850, USA; 2School of Public Health, University of Memphis, Memphis, TN, 38152, USA
D7 Learning from improvement
M. Rashad Massoud, Leighann Kimble
USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, Bethesda, Maryland 20814, USA
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Can we attribute the improvements we are measuring to the changes we are testing and implementing?
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How do we know that no other factors are influencing the results?
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If other factors are also affecting the results, how do we know what part is attributable to the changes we are making?
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Why did the changes which yielded improvements work, and how?
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How can we incorporate the effects of local context into improvements?
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How should we design improvement efforts to answer different learning objectives?
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How do we optimize data collection that simultaneously serves to drive quality improvement, inform evaluation efforts, and fulfil performance reporting requirements?
Behavioral Health
S1 Large-scale implementation of collaborative care management for depression and diabetes and/or cardiovascular disease
Arne Beck1, Claire Neely2, Jennifer Boggs1
1 Institute for Health Research, Kaiser Permanente, Denver, CO, 80231, USA; 2ICSI, Institute for Clinical Systems Improvement, Bloomington, MN, 55425, USA
Correspondence: Claire Neely
S2 Cost analysis of the collaborative care model for behavioral health in an urban, African-American, Medicare population
Carmel Nichols, Wen Wan, Erin Staab, Neda Laiteerapong
Medicine, University of Chicago, Chicago, IL, 60637, USA
Correspondence: Carmel Nichols
S3 Barriers and facilitators to implementing the New York state collaborative care initiative for depression in academic primary care settings: using a theoretical framework to inform policy
Nathalie Moise1, Ravi Shah2, Susan Essock2, Margaret Handley3, Amy Jones4, Jay Carruthers4, Karina Davidson1, Lauren Peccoralo5, Lloyd Sederer4
1Medicine, Columbia University Medical Center, New York, NY, 10032, USA; 2Psychiatry, Columbia University, New York, NY, 10032, USA; 3General Internal Medicine, Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, 94110, USA; 4New York State, Office of Mental Health, New York, NY, 10001, USA; 5Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
Correspondence: Nathalie Moise
S4 Improving transitions from detox to continuing care: using a care transition implementation system
Todd Molfenter
Center for Health Enhancement System Studies, University of Wisconsin, Madison, WI, 53706, USA
S5 A mixed-methods study of system-level sustainability of an evidence-based practice following 12 large-scale implementation initiatives
Ashley Scudder1, Sarah Taber-Thomas1,2, Kristen Schaffner1, Amy Herschell1,3
1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, 15213, USA; 2Psychology, University at Buffalo, Buffalo, NY, 14260, USA; 3Department of Psychology, West Virginia University, Morgantown, WV, 26506, USA
Correspondence: Amy Herschell
S6 Implementing integrated primary care in late adopter sites: the impact of key events on repeated measures of uptake
Eva Woodward1, Jeffery Pitcock2, Mona Ritchie2, JoAnn Kirchner2,3
1MIRECC, VA, North Little Rock, AR, 72114, USA; 2QUERI for Team-Based Behavioral Health, Central Arkansas Veterans Healthcare System, North Little Rock, AR, 72114, USA; 3Department of Psychiatry and Behavioral Sciences, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA
Correspondence: Eva Woodward
S7 Enhancing organizational capacity in implementation science: an evaluation of the practicing knowledge translation course
Julia E. Moore1, Sobia Khan1, Shusmita Rashid1, Jamie Park1, Melissa Courvoisier1, Sharon Straus1,2
1 Knowledge Translation (KT) Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, M5B 1 T8, Canada; 2 Geriatric Medicine, University of Toronto, Toronto, ON, M5G 1 V7, Canada
Correspondence: Julia E. Moore
S8 Implementation barriers and facilitators of treatments for criminogenic thinking in the Veterans Health Administration
Daniel Blonigen1,2, Allison Rodriguez3, Luisa Manfredi1, Andrea Nevedal1,4, Joel Rosenthal5, David Smelson6,7, Christine Timko1
1HSR&D Center for Innovation to Implementation, Department of Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, 94025, USA; 2Clinical Psychology PhD Program, Palo Alto University, Palo Alto, CA, 94304, USA; 3VA Palo Alto Health Care System, National Center for PTSD, Menlo Park, CA, 94025, USA; 4Health Services Research and Development, Veterans Health Administration, Menlo Park, CA, 94025, USA; 5Office of Homelessness/Veterans Justice Programs, Department of Veterans Affairs, Menlo Park, CA, 94025, USA; 6Center for Healthcare Organization and Implementation Research (CHOIR), VA Health Services Research & Development, Bedford/Boston, MA, 01730, USA; 7Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, 01655, USA
Correspondence: Daniel Blonigen
S9 Therapist and leader attitudes towards evidence-based practices: influence of practice, staff role, and perceptions of organizational climate
Nicole Stadnick1, Jennifer Regan2, Miya Barnett3, Anna Lau4, Lauren Brookman-Frazee1
1Psychiatry, University of California, San Diego, La Jolla, CA, 92093, USA; 2Clinical Training and Evidence-Based Practice, Hathaway-Sycamores Child and Family Services, Pasadena, CA, 91105, USA; 3Counseling, Clinical, & School Psychology, University of California, Santa Barbara, Santa Barbara, CA, 93106-9490, USA; 4Psychology, University of California, Los Angeles, Los Angeles, CA, 90095, USA
Correspondence: Nicole Stadnick
S10 The influence of leadership at executive and middle management levels on the implementation of evidence-based behavioral health care practices
Erick Guerrero1, Karissa Fenwick2, Yinfei Kong3, Gregory Aarons4
1Communities, Organizations and Business Innovation, School of Social Work, and Marshall School of Business, University of Southern California, Los Angeles, CA, 90015, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, 90015, USA; 3Mihaylo College of Business and Economics, California State University, Fullerton, CA, 90089, USA; 4Psychiatry, UC San Diego, La Jolla, CA, 92083-0812, USA
Correspondence: Erick Guerrero
S11 A multilevel case study of act implementation
Rebecca Lengnick-Hall, Karissa Fenwick, Benjamin Henwood
School of Social Work, University of Southern California, Los Angeles, CA, 90015, USA
Correspondence: Rebecca Lengnick-Hall
S12 Organizational factors differentiating VA PTSD outpatient teams with high and low delivery of evidence-based psychotherapy
Nina Sayer1,2, Craig Rosen3,4, Robert Orazem1, Brandy Smith3,5
1Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, 55417, USA; 2Medicine and Psychiatry, University of Minnesota, Minneapolis, MN, 55454, USA; 3VA Palo Alto Health Care System, National Center for PTSD Dissemination & Training Division, Menlo Park, CA, 94025, USA; 4Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94304, USA; 5VA Palo Alto Health Care System, Center for Innovation to Implementation, Menlo Park, CA, 94403, USA
Correspondence: Nina Sayer - Medicine and Psychiatry, University of Minnesota, Minneapolis, MN, 55454, USA
S13 Engaging clinicians and veterans in efforts to decrease benzodiazepines in posttraumatic stress disorder (PTSD): de-implementing through academic detailing
Craig Rosen
VA Palo Alto Health Care System, National Center for PTSD, Dissemination and Training Division, Menlo Park, CA, 94025, USA; Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Menlo Park, CA, 94025, USA; Veterans Affairs Palo Alto Healthcare System, Center for Innovation to Implementation, Menlo Park, CA, 94025, USA
Correspondence: Craig Rosen
S14 Participatory system dynamics: triangulating electronic health records, stakeholder expertise and simulation modeling to expand evidence-based practices
Lindsey Zimmerman1,2, David Lounsbury3,4, Craig Rosen1,5,6, Rachel Kimerling1, Jodie A. Trafton5,6,7, Steven Lindley5,8
1VA Palo Alto Health Care System, National Center for PTSD, Dissemination and Training Division, Menlo Park, CA, 94025, USA; 2Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, 98195, USA; 3Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, 10467, USA; 4Division of Community Collaboration and Implementation Science, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, 10467, USA; 5Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Menlo Park, CA, 94025, USA; 6Veterans Affairs Palo Alto Healthcare System, Center for Innovation to Implementation, Menlo Park, CA, 94025, USA; 7VA Program Evaluation and Resource Center, VA Office of Mental Health Operations, Menlo Park, CA, 94025, USA; 8Outpatient Mental Health, Veterans Affairs Palo Alto Healthcare System, Menlo Park, CA, 94025, USA
Correspondence: Lindsey Zimmerman
Big Data and Technology for Dissemination & Implementation Research
S15 Media influence and framing the public health narrative around unarmed deaths, race, and gun violence: mapping the Trayvon Martin case
Rahul Bhargava1,2
1Media Lab, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA; 2Berkman Klein Center for Internet & Society, Harvard Law School, Cambridge, MA, 02138, USA
Correspondence: Rahul Bhargava
S16 Vaccine hesitancy and digital networks: the influence of social proof
Hal Roberts
Berkman Klein Center for Internet and Society, Harvard University, Cambridge, MA, 02138, USA
S17 Could fragmented communication networks reshape the narrative?: Evidence from tobacco and e-cigarette media framing
Laura Gibson
Tobacco Center of Regulatory Science, University of Pennsylvania School for Communication, Philadelphia, PA, 19104, USA
S18 Implementation of real time clinical decision support: the challenge of evaluation
Gabriel J Escobar1, Vincent Liu2, Benjamin Turk2, Arona Ragins2, Patricia Kipnis3
1Division of Research, Kaiser Permanente, Oakland, CA, 94612, USA; 2Health Care Effectiveness, Kaiser Permanente Division of Research, Oakland, CA, 94612, USA; 3Decision Support, Kaiser Permanente Northern California, Oakland, CA, 94612, USA
Correspondence: Gabriel J Escobar
S19 Reducing readmissions through improving care transitions (RRTICT): development of a tailored approach to improve veteran outcomes
Ashley Ketterer Gruszkowski1, Michael W. Kennedy1, Emily Rentschler Drobek1, Lior Turgeman2, Aleksandra Sasha Milicevic2, Terrence L. Hubert1, Larissa Myaskovsky1,3,4, Youxu C. Tjader2, Robert J. Monte1, Kathryn G. Sapnas5
1Veterans Engineering Resource Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, 15125, USA; 2Joseph M. Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, 15260, USA; 3Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, 15240, USA; 4University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, PA, 15240, USA; 5Office of the Assistant Deputy Under Secretary of Health for Patient Care Services, VA Central Office, Washington, DC, 20420, USA
Correspondence: Ashley Ketterer Gruszkowski
Site | Readmission Rate Difference | Percent Difference | P Value |
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Overall | −0.044 | −28% | 0.00001 |
Albany | −0.013 | −9% | 0.59992 |
Bay Pines | −0.043 | −27% | 0.00937 |
Gainesville | −0.056 | −22% | 0.24760 |
Omaha | −0.053 | −35% | 0.05105 |
San Juan | −0.077 | −48% | 0.00011 |
Sioux Falls | −0.021 | −17% | 0.32614 |
S20 Work system redesign and implementation of evidence-based hypertension protocol in specialty clinics using electronic health record prompts
Edmond Ramly1, Diane R Lauver2, Christie M Bartels3
1Industrial and Systems Engineering, University of Wisconsin-Madison College of Engineering, Madison, WI, 53704, USA; 2Nursing, University of Wisconsin School of Nursing, Madison, WI, 53704, USA; 3Medicine, Rheumatology Division, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53705, USA
Correspondence: Edmond Ramly
Clinical (i.e., Primary, Specialty, Hospital, etc.) Care Settings
S21 Diffusion of Excellence initiative: accelerating the implementation of best practices in America's largest integrated healthcare delivery system
Shereef Elnahal1, Andrea Ippolito2, Hillary Peabody3, Carolyn Clancy1
1Office of the Under Secretary for Health, Organizational Excellence, US Department of Veterans Affairs, Washington, DC, 20005, USA; 2Office of Under Secretary for Health, Veterans Health Administration, Washington, DC, 20005, USA; 3Healthcare Performance Improvement and Innovation, Atlas Research, Washington, DC, 20005, USA
Correspondence: Shereef Elnahal
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Facilitated adaptation provided to over 15 facilities to adapt 12 practices.
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Identified select processes for national rollout
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Prioritized vulnerable populations facing mental health, economic, and chronic disease related challenges:
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o One practice that includes the use of tablets for patients to complete screening tools from the waiting room reduced data entry time by 17 minutes per patient. This process improves care for Veterans with mental health conditions, as it increased screening for suicide risk from 50% to 90% and cut in half the time to document suicide risk.
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o One practice brings Veterans together in social worker facilitated group visits to discuss advance care planning. 85% of all participants took concrete steps to develop more comprehensive care plans, especially important as patients with lower socioeconomic status are less likely to have Advance Directives.
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o One practice leverages pharmacists to support the primary care team, saving primary care providers 15 minutes per new patient appointment. This practice could save up to 2,000 hours of primary care providers’ time if implemented just for patients with diabetes.
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S22 Reducing disparities in a regional health improvement collaborative: a positive deviance approach
Randall Cebul1, Thomas Love1,2, Douglas Einstadter1,3, Shari Bolen1,4
1Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland, OH, 44109, USA; 2Medicine and Epidemiology and Biostatistics, Better Health Partnership, Cleveland, OH, 44109, USA; 3MetroHealth Medical Center, Cleveland, OH, 44109, USA; 4Medicine, Better Health Partnership, Cleveland, OH, 44109, USA
Correspondence: Randall Cebul
S23 Building synergy among national health system initiatives and a regional health improvement collaborative: a case study of the Cleveland Veterans Affairs medical center
Brook Watts1,2
1 Informatics and Analytics, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, 44106, USA; 2 Department of Medicine, Case Western Reserve University, Cleveland, OH, 44106, USA
Correspondence: Brook Watts
S24 Applying lean principles to improve hepatitis C testing in VA primary care community clinics
Vera Yakovchenko1,2, Angela Park3, William Lukesh3, Donald R. Miller1,2, David Thornton4, Mari-Lynn Drainoni1,2,5, Allen L. Gifford1,2,7
1Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, 02118, USA; 2Department of Veterans Affairs, VA HSR&D Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, 01730, USA; 3Boston VA Healthcare System, New England Veterans Engineering Resource Center, Boston, MA, 02132, USA; 4VA Boston Healthcare System, Boston, MA, 02139, USA; 5Department of Medicine, Boston University School of Medicine, Boston, MA, 02118, USA; 7Internal Medicine, Boston University School of Medicine, Boston, MA, 02215, USA
Correspondence: Vera Yakovchenko
S25 What does the facilitation implementation strategy look like in the real world?
Shawna Smith1, Julia Kyle2, Mark S Bauer3,4, Daniel Eisenberg5, Celeste Liebrecht2,6, Michelle Barbaresso2,6, Amy Kilbourne2,7,8
1Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, MI, 48109, USA; 2Psychiatry, University of Michigan Medical School, Ann Arbor, MI, 48109, USA; 3Center for Healthcare Organization and Implementation Research, VA HSR&D, Bedford/Boston, MA, 02130, USA; 4Department of Psychiatry, Harvard Medical School, Boston, MA, 02115, USA; 5Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA; 6Center for Clinical Management Research, VA Ann Arbor Health System, Ann Arbor, MI, 48109, USA; 7Dept of Veterans Affairs, VA Quality Enhancement Research Initiative (QUERI), Washington, DC, 20420, USA; 8VA Health Services Research and Development, VA Quality Enhancement Research Initiative, Washington, DC, 20420, USA
Correspondence: Shawna Smith
S26 Lesson learned from NCI SPRINT entrepreneurs: commercializing a tobacco treatment for cancer center implementation
Elyse Park1, Giselle Perez1, Jamie Ostroff2
1MIHP, MGH, Boston, MA, 02114, USA; 2Psychiatry, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, USA
Correspondence: Elyse Park
S27 Dissemination and implementation in health systems: more GPS than self-driving car
Sarah Greene1, Michael Parchman2, Brian Austin2, Eric Larson2
1Research, Health Care Systems Research Network, Seattle, WA, 98115, USA; 2MacColl Center for Health Care Innovation and Senior Investigator, Group Health Research Institute, Seattle, WA, 98101, USA
Correspondence: Sarah Greene
S28 Implementation of an integrated care management program in community pharmacies: identifying barriers and employing implementation strategies
Stefanie Ferreri1, Chris Shea2, Megan Smith3, Kea Turner4
1Division of Practice Advancement and Clinical Education, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, 27599, USA; 2Health Policy and Management, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA; 3Pharmacy Practice, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock, AR, 72205, USA; 4Health Policy and Management, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, 27599, USA
Correspondence: Stefanie Ferreri
S29 Implementation strategies for patient care services in community pharmacy: a systematic review
Jennifer Bacci1, Kyle Bigham1, Geoffrey Curran2, Stefanie Ferreri3, Caity Frail4, Cory Hamata1, Terry Jankowski5, Wendy Lantaff6, Melissa Somma McGivney7, Margie Snyder6
1Pharmacy Practice, University of Washington School of Pharmacy, Seattle, WA, 98195, USA; 2Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; 3Division of Practice Advancement and Clinical Education, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, 27599, USA; 4Pharmacy Practice, University of Minnesota College of Pharmacy, Minneapolis, MN, 55455, USA; 5Library Science, University of Washington, Seattle, WA, 98195, USA; 6Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, IN, 46202, USA; 7Pharmacy Practice, University of Pittsburg School of Pharmacy, Pittsburg, PA, 15261, USA
Correspondence: Jennifer Bacci
S30 Testing implementation strategies for anticoagulation improvement in clinical pharmacy clinics: a qualitative study
Megan McCullough1,2, Chris Gillespie1, Beth Ann Petrakis1, Ellen Jones3, Angela Park4, Carol VanDeusen Lukas5,6, Adam Rose1,7
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Health Services Research & Development, Bedford, MA, 01730, USA; 2Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, 02118, USA; 3Pharmacy, Central Western Massachusetts VA Healthcare System, Leeds, MA, 01053, USA; 4Boston VA Healthcare System, New England Veterans Engineering Resource Center, Boston, MA, 02130, USA; 5Research, VA Boston Healthcare System, Center for Healthcare Organization and Implementation Research, Boston, MA, 02130, USA; 6Health Policy and Management, Boston University School of Public Health, Boston, MA, 02118, USA; 7Internal Medicine, Boston University Medical Center, Boston, MA, 02119, USA
Correspondence: Megan McCullough
S31 An implementation research model for pharmacy: application of the Consolidated Framework for Implementation Research (CFIR) to community pharmacy
Sarah J. Shoemaker1, Geoffrey Curran2, Jeremy Thomas2, Benjamin Teeter2, Holly Swan1
1US Health, Abt Associates, Cambridge, MA, 02138, USA; 2Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA
Correspondence: Sarah J. Shoemaker
S32 Adaptation of a motivational interviewing intervention in community pharmacies: application of the Wiltsey Stirman framework to characterize modifications in a 4-site implementation demonstration study
Benjamin Teeter1, Jeremy Thomas1, Geoffrey Curran1, Appathurai Balamurugan2
1Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; 2Center for Health Advancement, Arkansas Department of Health, Little Rock, AR, 72205, USA
Correspondence: Benjamin Teeter
S33 Evidence supporting clinician acceptance of a standardized handoff process: findings from a hybrid effectiveness-implementation study of operating room to intensive care unit handoffs
Meghan Lane-Fall1,2,3, Rinad Beidas2,4, Laura Di Taranti1, Sruthi Buddai1, Enrique Torres Hernandez5, Jerome Watts6, Lee Fleisher1,2, Frances Barg1,7
1Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104-4865, USA; 2Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, 19104, USA; 3Center for Healthcare Improvement and Patient Safety, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA; 4Psychiatry, University of Pennsylvania, Philadelphia, PA, 19104, USA; 5School of Science, Engineering and Technology, St. Mary's University, San Antonio, TX, 78228, USA; 6Haverford College, Haverford, PA, 19041, USA; 7Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, 19104, USA
Correspondence: Meghan Lane-Fall
S34 Defying expectations for care management practice uptake: a mixed methods analysis of positive deviants in a national sample of physician organizations
Isomi Miake-Lye1, Tanya Olmos2, Emmeline Chuang1, Hector Rodriguez3, Gerald Kominski4, Becky Yano1,5, Stephen Shortell6
1Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, 90024, USA; 2Health Policy and Management, University of California, Los Angeles, San Fernando, CA, 91340, USA; 3Health Policy and Management, University of California - Berkeley, School of Public Health, Berkeley, CA, 94720, USA; 4Department of Health Policy and Management, UCLA Center for Health Policy Research, Los Angeles, CA, 90272, USA; 5HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Sepulveda, CA, 91343, USA; 6School of Public Health, University of California, Berkeley, Berkeley, CA, 94720, USA
Correspondence: Isomi Miake-Lye
S35 Using implementation theory to evaluate the impact of technology on nurses’ knowledge and use of best practices in acute care
Mary Hook
Center for Nursing Research and Practice, Aurora Health Care, Milwaukee, WI, 53233, USA
S36 Integrating emergent mhealth apps into pediatric practice: a mixed methods implementation project
Linda Fleisher1,2, Alexander Fiks3, Katie Halkyard1, Rachel Gruver1, Emily Sykes1
1Research Institute, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA; 2Population Science, Fox Chase Cancer Center, Philadelpia, PA, 19015, USA; 3General Pediatrics, University of Pennsylvania, Philadelphia, PA, 19066, USA
Correspondence: Linda Fleisher
S37 Promoting change in the genitourinary care of postmenopausal women through clinician education and electronic health record tools: a cluster randomized trial
Kimberly Vesco1,2, Kate Beadle3, Joanna Bulkley1, Ashley Stoneburner1, Michael Leo1, Amanda Clark1,2
1Science Programs Department, Kaiser Permanente Center for Health Research, Northwest, Portland, OR, 97227, USA; 2Obstetrics & Gynecology, Northwest Permanente, Clackamas, OR, 97015, USA; 3Obstetrics & Gynecology, Kaiser Permanente, Northwest, Portland, OR, 97227, USA
Correspondence: Kimberly Vesco
S38 Provider-developed clinical decision support and education to optimize and sustain timely and accurate treatment of hypoxic ischemic encephalopathy in the neonatal intensive care unit
Joan Smith1, Christopher Smyser2, Maggie Wolf1, Shamik Trivedi3, Brian Hackett4, Rakesh Rao4, F. Sessions Cole4, Rose McGonigle5, Ann Donze6, Enola Proctor7, Amit Mathur8
1Nursing, St. Louis Children's Hospital, St. Louis, MO, 63110, USA; 2Neurology, Washington University School of Medicine, St. Louis, MO, 63110, USA; 3Neonatal-Perinatal Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA; 4Pediatrics and Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA; 5Newborn Intensive Care Unit, St. Louis Children's Hospital, St. Louis, MO, 63110, USA; 6Nursing/Newborn Intensive Care Unit, St. Louis Children's Hospital, St. Louis, MO, 63110, USA; 7George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, 63130, USA; 8Pediatrics and Newborn Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA
Correspondence: Joan Smith
Global Dissemination & Implementation
S39 Building capacity for implementation science in global health: four years of experience with the University of Washington’s PhD in implementation science
Kenneth Sherr, Emmanuela Gakidou, Stephen Gloyd
Global Health, University of Washington, Seattle, WA, 98105, USA
Correspondence: Kenneth Sherr
S40 Adapting an adherence support workers intervention: engaging traditional healers as adherence partners for persons taking antiretroviral therapy in rural Mozambique
Carolyn Audet1, Jose Salato2, Sten Vermund3, Rivet Amico4
1Health Policy, Vanderbilt University Medical Center, Nashville, TN, 37209, USA; 2Community Health, Friends in Global Health, Quelimane, 00000, Mozambique; 3Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, 37203, USA; 4Health Behavior Health Education, University of Michigan, Ann Arbor, MI, 48109, USA
Correspondence: Carolyn Audet
S41 Evaluating partners in health's mental health integration program in Burera district, Rwanda
Stephanie Smith1,2, Beatha Nyirandagijimana3, Hildegarde Mukasakindi3, Christian Rusangwa4, Molly Franke5, Giuseppe Raviola1,5
1Mental Health, Partners In Health, Boston, MA, 02199, USA; 2Psychiatry, Brigham and Women's Hospital, Boston, MA, 02115, USA; 3Mental Health, Inshuti Mu Buzima, Butaro, Rwanda; 4Health Systems Strengthening, Inshuti Mu Buzima, Butaro, Rwanda; 5Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, 02115, USA
Correspondence: Stephanie Smith
S42 A multi-modal intervention to improve care of the severely ill in western Uganda: a prospective implementation study
Matthew Cummings1, Elijah Goldberg2, Savio Mwaka2, Olive Kabajaasi2, Adithya Cattamanchi3, Achilles Katamba4, Shevin Jacob5, Nathan Kenya-Mugisha2, J. Lucian Davis6
1Medicine, New York Presbyterian - Columbia University Medical Center, New York, NY, 10032, USA; 2Implementation, Walimu, Kampala, Uganda; 3Medicine, University of California San Francisco, San Francisco, CA, 94110, USA; 4Medicine, Makerere College of Health Sciences, Kampala, Uganda; 5Medicine, University of Washington, Seattle, WA, 98104, USA; 6Epidemiology (Microbial Diseases), Yale School of Public Health, New Haven, CT, 06520-8034, USA
Correspondence: J. Lucian Davis
S43 Context matters: adapting the Model for Understanding Success in Quality Improvement (MUSIQ) for low and middle income countries
Julie Reed1, Rohit Ramaswamy2, Gareth Parry3, Sylvia Sax4, Heather Kaplan5
1Public Health and Primary Care, NIHR CLAHRC NWL, London, SW10 9NH, UK; 2Gillings School of Public Health, University of North Carolina, Chapel Hill, NC, 27599, USA; 3Institute for Healthcare Improvement, Boston, MA, 02138, USA; 4Independent Global Consultant, Heidelberg, 69118, Germany; 5Divisions of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 45229, USA
Correspondence: Rohit Ramaswamy
S44 Integrating evidence-based pediatric behavioral health services into primary and community settings: pragmatic strategies and lessons learned from literature review and global implementation projects
Keng-yen Huang1, Sabrina Cheng1, Susan Yee1, Kimberly Hoagwood2, Mary McKay3,4, Donna Shelley1, Gbenga Ogedegbe5, Laurie Miller Brotman1
1Populaiton Health, Population Health at NYU Langone Medical Center, New York, NY, 10016, USA; 2Child & Adolescent Psychiatry, The Child Study Center at NYU Langone Medical Center, New York, NY, 10016, USA; 3Social Work, McSilver Institute for Poverty Policy and Research, New York, NY, 10013, USA ; 4Social Work, New York University, New York, NY, 10013, USA; 5Population Health and Medicine and Center for Healthful Behavior Change, New York University, New York, NY, 10016, USA
Correspondence: Keng-yen Huang
Health Policy Dissemination and Implementation
S45 Distortion of implementation techniques in health care: the case of "facilitation"
Roman Kislov1, John Humphreys2, Gill Harvey3, Paul Wilson1
1Alliance Manchester Business School, University of Manchester, Manchester, M15 6 PB, UK; 2NIHR CLAHRC Greater Manchester, Salford Royal NHS Foundation Trust, Salford, M6 8HD, UK; 3School of Nursing, The University of Adelaide, Adelaide, SA 5005, Australia
Correspondence: Paul Wilson
S46 Measuring the cost of patient-centered medical home implementation
Robert Lieberthal1,2,3, Colleen Payton4, Mona Sarfaty4, George Valko4
1Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA, 19107, USA; 2Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, 19107, USA 3Department of Public Health, University of Tennessee, Knoxville, Knoxville, TN, 37996, USA; 4Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, 19107, USA
Correspondence: Robert Lieberthal
S47 Successful strategies for implementing patient centered care in VA medical centers
Rendelle Bolton1, Carol VanDeusen Lukas2, Christine Hartmann3,4, Nora Mueller5, Sally K Holmes4,6, Barbara Bokhour1,4
1ENRM Veterans Hospital, VA HSR&D Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, 01730, USA; 2Center for Organization, Leadership & Mgmt. Rsch., Department of Veterans Affairs/Boston University-School of Public Health, Boston, MA, 02130, USA; 3Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, 01730, USA; 4Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, 02118, USA; 5Center for Healthcare Organization and Implementation Research, VA HSR&D Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, 01730, USA; 6Research, VA HSR&D Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, 02130, USA
Correspondence: Rendelle Bolton
S48 Mapping a method for rapid dissemination and implementation: the primary care extension program
Sarah Ono1,2, Benjamin Crabtree3, Leah Gordon1, William Miller4, Bijal Balasubramanian5, Leif Solberg6, Deborah Cohen1
1Department of Family Medicine, Oregon Health & Science University, Portland, OR, 97239, USA; 2VA Portland Health Care System, Department of Veterans Affairs, Portland, OR, 97239, USA; 3Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, 08901, USA; 4Family Medicine, Lehigh Valley Hospital, Allentown, PA, 18105-7017, USA; 5Epidemiology, University of Texas Health Science Center at Houston, Houston, TX, 77030, USA; 6Institute for Education and Research, HealthPartners, Bloomington, MN, 55425, USA
Correspondence: Sarah Ono
S49 Department of Defense (DoD) practice based implementation network: an optimized framework for provision of behavioral health interventions to the Military Health System (MHS)
Kate McGraw1, Andrew Blatt2, Demietrice Pittman3
1DHCC, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, Silver Spring, MD, 20910, USA; 2DHCC/PHCC, Defense Centers of Excellence for Psychological Health & TBI, Silver Spring, MD, 20901, USA; 3Implementation Science Team, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE), Silver Spring, MD, 20910, USA
Correspondence: Kate McGraw
S50 Testing un-learning and substitution strategies to de-implement antipsychotics in nursing homes
Megan McCullough1,2, Christine Hartmann1,2, Helen Kales3,4, Dan Berlowitz1,2, Teresa Hudson5,6, Chris Gillespie1, Christian Helfrich7,8
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Health Services Research & Development, Bedford, MA, 01730, USA; 2Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, 02118, USA; 3Deparment of Veterans Affairs, Center for Practice Management Outcomes Research, Ann Arbor, MI, 48105, USA; 4Department of Psychiatry, University of Michigan, Ann Arbor, MI, 48105, USA; 5Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; 6Department of Veterans Affairs, VA Central Arkansas Veterans Healthcare System, North Little Rock, AR, 72114, USA; 7Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA, 98101, USA; 8Department of Health Services, University of Washington, School of Public Health, Seattle, WA, 98195, USA
Correspondence: Megan McCullough
S51 A scoping review to evaluate the impact of prescription drug monitoring program implementation
Erin Finley1,2, Ashley Garcia3, Kristen Rosen3, Claudina Tami3, Don McGeary3, Mary Jo Pugh2, Jennifer Sharpe Potter3
1School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA; 2Veterans Evidence-based Research Dissemination and Implementation Center, South Texas Veterans Health Care System, San Antonio, TX, 78229, USA; 3Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA
Correspondence: Erin Finley
S52 Baseline clinician interviews of two de-implementation projects: four factors that might inform de-implementation strategies
Christian Helfrich1,2, Krysttel Stryczek3, David Au3, Steven Zeliadt1,2,3, George Sayre2,3, Chris Gillespie4
1Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA, 98101, USA; 2Department of Health Services, University of Washington, School of Public Health, Seattle, WA, 98195, USA; 3Center of Innovation for Veteran-Centered and Value-Driven Care, Department of Veterans Affairs, Seattle, WA, 98108, USA; 4Center for Healthcare Organization and Implementation Research (CHOIR), Department of Veterans Affairs, Bedford, MA, 01730, USA
Correspondence: Christian Helfrich
S53 How do implementation strategies impact efforts to integrate evidence-based interventions into tobacco retail policy?
Jennifer Leeman1, Allison Myers2, Jennifer Grant2, Mary Wangen3, Tara Queen4
1School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA; 2Counter Tools, Carrboro, NC, 27510, USA; 3Health Behavior, Gillings School of Global Public Health, Chapel Hill, NC, 27599, USA; 4Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA
Correspondence: Jennifer Leeman
S54 Framing and disseminating research information to legislators and advocates involved in cancer control policy change
Alexandra Morshed1,2, Elizabeth Dodson2,3, Rachel Tabak2, Ross C Brownson1,2
1Brown School, Washington University in St. Louis, Saint Louis, MO, 63130, USA; 2Prevention Research Center, Washington University in St. Louis, St. Louis, MO, 63130, USA; 3Institute for Public Health, Washington University, St. Louis, MO, 63112, USA
Correspondence: Alexandra Morshed
S55 Using decision analysis to understand policy-makers’ use of research and local evidence for evidence-informed policies
R. Chris Sheldrick1, Thomas Mackie2, Justeen Hyde3, Laurel Leslie4
1Department of Pediatrics, Tufts Medical Center, Boston, MA, 02111, USA; 2Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, 08901, USA; 3Institute for Community Health, Malden, MA, 02148, USA; Center for Healthcare Organization and Implementation Research (CHOIR), US Department of Veterans Affairs, Bedford, MA, 01730, USA; 4Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 02111, USA
Correspondence: R. Chris Sheldrick
S56 A longitudinal investigation of knowledge brokering as a mechanism for integrating research evidence into health policymaking
Itzhak Yanovitzky, Matthew Weber, Nicole Gesualdo, Teis Kristensen
Communication, Rutgers University, New Brunswick, NJ, 08901, USA
Correspondence: Itzhak Yanovitzky
Models, Measures, and Methods
S57 Defining and developing a pragmatic construct for implementation measurement
Cameo Stanick1, Heather Halko2, Caitlin Dorsey3, Byron Powell4, Bryan Weiner5, Cara Lewis6
1Hathaway-Sycamores Child and Family Services, Pasadena, CA, 91105, USA; 2Department of Psychology, University of Montana, Missoula, MT, 59812, USA; 3Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, 47405, USA; 4Health Policy & Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7411, USA; 5Department of Global Health, University of Washington, Seattle, WA, 98195, USA; 6Group Health Research Institute, Seattle, WA, 98101, USA
Correspondence: Cameo Stanick
S58 Stakeholders’ perceptions of criteria for pragmatic measurement in implementation: a concept mapping approach
Byron Powell1, Bryan Weiner2, Cameo Stanick3, Heather Halko4, Caitlin Dorsey5, Cara Lewis6
1Health Policy & Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7411, USA; 2Department of Global Health, University of Washington, Seattle, WA, 98195, USA; 3Hathaway-Sycamores Child and Family Services, Pasadena, CA, 91105, USA; 4Department of Psychology, University of Montana, Missoula, MT, 59812, USA; 5Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, 47405, USA; 6Group Health Research Institute, Seattle, WA, 98101, USA
Correspondence: Byron Powell
S59 Psychometric assessment of three newly developed implementation outcome measures
Bryan Weiner1, Caitlin Dorsey2, Cameo Stanick3, Heather Halko4, Byron Powell5, Cara Lewis6
1Department of Global Health, University of Washington, Seattle, WA, 98195, USA; 2Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, 47405, USA; 3Hathaway-Sycamores Child and Family Services, Pasadena, CA, 91105, USA; 4Department of Psychology, University of Montana, Missoula, MT, 59812, USA; 5Health Policy & Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7411, USA; 6Group Health Research Institute, Seattle, WA, 98101, USA
Correspondence: Bryan Weiner
S60 Strategies for assessing fidelity to evidence-based interventions: a comparison of feasibility, accuracy, and associations with clinical outcomes
Shannon Wiltsey Stirman1,2, Patricia Carreno2, Kera Mallard2, Tasoula Masina3, Candice Monson3
1Stanford University, Menlo Park, CA, 94025, USA; 2Dissemination and Training Division, National Center for PTSD, Menlo Park, CA, 94025, USA; 3Department of Psychology, Ryerson University, Toronto, ON, M4C1B5, Canada
Correspondence: Shannon Wiltsey Stirman
S61 An investigation of the impact of accuracy and frequency of self-report on observed fidelity
Taren Swindle1, Geoffrey Curran2, Zachary Patterson1, Leanne Whiteside-Mansell1
1Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; 2Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA
Correspondence: Taren Swindle
S62 A pragmatic fidelity measurement strategy for integration into community practice settings
Rochelle Hanson1, Benjamin Saunders2, Sonja Schoenwald1, Angela Moreland2
1Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA; 2Psychiatry & Behavioral Sciences, National Crime Victims Research & Treatment Center, Charleston, SC, 29425, USA
Correspondence: Rochelle Hanson
S63 Criteria for selecting implementation frameworks and theories among implementation researchers and practitioners
Sarah Birken1, Byron Powell1, Justin Presseau2,3,4
1Health Policy & Management, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC, 27599-7411, USA; 2Centre for Practice-Changing Research, Ottawa Hospital Research Institute, Ottawa, ON, K1H 8 L6, Canada; 3Institute of Health & Society, Newcastle University, Newcastle, NE24AX, UK; 4School of Epidemiology, Public Health, and Preventive Medicine, University of Ottawa, Ottawa, ON, K1H 8 L6, Canada
Correspondence: Sarah Birken
Criteria used | Frequency |
---|---|
<=5 | 30 |
6-10 | 79 |
> = 10 | 50 |