Advanced Qualitative Methods hosted by the Qualitative Methods Learning Collaborative

Understanding Pathways from Implementation to Sustainment: A Longitudinal, Mixed Methods Analysis of Promising Practices in the Veterans Health Administration

by George Jackson, PhD, MHA ; Andrea Nevedal, PhD
Seminar date: 4/11/2024

Description: The Veterans Health Administration (VHA) is the United States’ largest learning health system. The Diffusion of Excellence (DoE) program is a large-scale model of diffusion that identifies and diffuses evidence-informed practices across VHA. During the period of 2016-2021, 57 evidence-informed practices were implemented across 82 VHA facilities. This setting provides a unique opportunity to understand sustainment determinants and pathways. Our objective was to characterize the longitudinal pathways of practices as they transition from initial implementation to long-term sustainment at each facility.
Intended Audience: Researchers/evaluators, fellows, and students

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