Health Services Research & Development

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2006 HSR&D National Meeting Abstract


2012 — Regional Implementation Research: Lessons from QUERI-HIV

Author List:
Sobo EJ (San Diego State University, VA San Diego Healthcare System)
Bowman CC (VA San Diego Healthcare System)
Aarons G (University of California, San Diego)
Gifford AL (VA San Diego Healthcare System, University of California, San Diego)
Asch SM (VA Greater Los Angeles Healthcare System, University of California, Los Angeles)
Goetz MB (VA Greater Los Angeles Healthcare System, University of California, Los Angeles)
Osborn T (Quality Management Officer, VISN 22)

Objectives:
Regional or VISN-level implementation is a crucial part of QUERI’s strategy; however, it entails challenges not encountered in local or national projects. To explore these challenges, we invited academic collaborators to help evaluate a computerized HIV testing reminder pilot in VISN 22. The lessons learned are generalizable to most regional quality improvement efforts. This workshop describes the tools from anthropology and organizational psychology that we used to identify key implementation issues and organizational attributes that must be considered for successful regional implementation. Attendees will learn to: ·Identify and define key implementation issues and organizational attributes ·Explain how these function in an articulated fashion to block or promote successful implementation ·Identify emergent processes and products that can sabotage projects ·Create a regional implementation action plan.

Methods:
The workshop uses a didactic and activity-based format, with ample discussion opportunities. We begin with a case-based overview of the HIV testing reminder project. Key challenges are highlighted. Attendees then break out into groups, which are each assigned one of two specific implementation projects modeled on projects that were actually undertaken by the conveners. Groups will be assigned specific tasks in regard to their projects that exemplify the processes that they would need to undertake in their own VISNs/regions to ensure successful implementation. At the half-way point of the exercise, various challenges are dealt out to the groups in random fashion, and the groups must design corrective activities. After providing group-specific guidance during the break-out portion of the session, participants are reconvened and polled for insights. Workshop leaders then review how each project really turned out. Lessons learned and best practices are highlighted.

Results:
Implementation research scientists eager to engage at the VISN level. Also welcome are: researchers seeking to move their findings into practice; Quality Improvement specialists interested in honing their implementation skills; Administration/management personnel desiring further knowledge about how to support regional QI.

Implications:
Interest in translating research into practice. Implementation experience helpful but not required. Interest in HIV/AIDS not presumed.

Impacts: