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发布于:2017-12-5 00:17:23  访问:22 次 回复:0 篇
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Cal Epidemiology, Oregon Wellness Science University, Portland, OR, USA Full list
Implementation Science (2016) 11:Web page two of(Continued from preceding web page)Clinical Trial Registration: NCT02560428 (09/21/15) Keywords: Dissemination and implementation analysis, Key care practice extension, Practice facilitation, Regional learning collaboratives, Key care practice, Cardiovascular disease prevention, Practice capacity, Good quality improvement, Multi-site evaluationBackground The Agency for Healthcare Investigation and High-quality (AHRQ) launched the EvidenceNOW Initiative in 2015 to market delivery of evidence-based cardiovascular disease (CVD) preventive care in smaller sized major care practices with limited resources and knowledge with high-quality improvement (QI), and to expand the nation‘s capacity to rapidly translate evidence into practice. AHRQ funded seven regional Cooperatives spanning 12 states in the USA. Every single Cooperative received a 3-year grant to make a CK-1827452 Wellness practice extension infrastructure to implement interventions aimed at decreasing cardiovascular threat for their patient populations inside roughly 250 principal care practices, each and every with less than ten clinicians and with restricted good quality improvement capacity. In conjunction with delivering active external help, the Cooperatives will evaluate practice improvement efforts. Within the call for proposals, AHRQ essential use of measures which are common across the Cooperatives, like measures of CVD clinical good quality and practice capacity outcomes. Cooperatives are expected to share these information having a national evaluation group, which AHRQ funded separately. This paper describes the study MedChemExpress BIBN-4096 protocol for the EvidenceNOW national evaluation, called Evaluating Technique fpsyg.2013.00735 Adjust to Advance Understanding and Take Proof to Scale (ESCALATES) which aims to comprehensively evaluate the dissemination and implementation (D I) approaches of the seven Cooperatives to generate overarching, crossCooperative findings. This function will inform future largescale D I efforts and expand the understanding of your traits of helpful practice facilitation and regional extension services for practice improvement.QI in principal care practicestaff, and fewer resources to help adjust than bigger practices [6?0]. Handful of compact practices have the time, resources, or expertise to develop QI capacity, and usually these practices want external help [11, 12] which may perhaps consist of overall performance feedback and benchmarking [13?5], practice facilitation or coaching [16?9], academic detailing or professional consultation [20?5], and participating in mastering collaboratives [26?9]. Within the context of the fast pace of practice transformation in the USA, primary care practices, especially smaller sized ones, can grow to be overwhelmed and experience change fatigue, which further slows QI p.Cal Epidemiology, Oregon Wellness Science University, Portland, OR, USA Full list of author details is out there in the finish on the short article?2016 The Author(s). Open Access This short article is distributed under the terms on the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give suitable credit 890334415573001 towards the original author(s) along with the source, offer a link towards the Creative Commons license, and indicate if changes were created. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies towards the data made readily available zookeys.482.8453 within this short article, unless otherwise stated.Cohen et al. Implementation Science (2016) 11:Web page two of(Continued from earlier web page)Clinical Trial Registration: NCT02560428 (09/21/15) Search phrases: Dissemination and implementation study, Major care practice extension, Practice facilitation, Regional understanding collaboratives, Key care practice, Cardiovascular illness prevention, Practice capacity, High-quality improvement, Multi-site evaluationBackground The Agency for Healthcare Investigation and High quality (AHRQ) launched the EvidenceNOW Initiative in 2015 to market delivery of evidence-based cardiovascular disease (CVD) preventive care in smaller principal care practices with restricted resources and knowledge with high-quality improvement (QI), and to expand the nation‘s capacity to rapidly translate evidence into practice.
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