Supporting Veteran's Administration Medical Center Directors' Decisions When Adopting Innovative Practices: Development and Implementation of the "QuickView" and "WishList" Tools.
Journal
The Permanente journal
ISSN: 1552-5775
Titre abrégé: Perm J
Pays: United States
ID NLM: 9800474
Informations de publication
Date de publication:
15 09 2023
15 09 2023
Historique:
medline:
18
9
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
ppublish
Résumé
Background Since 2015, the Veterans Health Administration (VHA) Diffusion of Excellence Program has supported spread of practices developed by frontline employees. Shark Tank-style competitions encourage "Sharks" nationwide (VHA medical center/regional directors) to bid for the opportunity to implement practices at their institutions. Methods The authors evaluated bidding strategies (2016-2020), developing the "QuickView" practice comparator to promote informed bidding. Program leaders distributed QuickView and revised versions in subsequent competitions. Our team utilized in-person observation, online chats after the competition, bidder interviews, and bid analysis to evaluate QuickView use. Bids were ranked based on demonstrated understanding of resources required for practice implementation. Results Sharks stated that QuickView supported preparation before the competition and suggested improvements. Our revised tool reported necessary staff time and incorporated a "WishList" from practice finalists detailing minimum requirements for successful implementation. Bids from later years reflected increased review of facilities' current states before the competition and increased understanding of the resources needed for implementation. Percentage of bids describing local need for the practice rose from 2016 to 2020: 4.7% (6/127); 62.1% (54/87); 78.3% (36/46); 80.6% (29/36); 89.7% (26/29). Percentage of bids committing specific resources rose following QuickView introduction: 81.1% (103/127) in 2016, 69.0% (60/87) in 2017, then 73.9% (34/46) in 2018, 88.9% (32/36) in 2019, and 89.7% (26/29) in 2020. Discussion In the years following QuickView/WishList implementation, bids reflected increased assessment before the competition of both local needs and available resources. Conclusion Selection of a new practice for implementation requires an understanding of local need, necessary resources, and fit. QuickView and WishList appear to support these determinations.
Identifiants
pubmed: 37545198
doi: 10.7812/TPP/23.008
pmc: PMC10502382
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
79-91Déclaration de conflit d'intérêts
Conflicts of Interest None declared
Références
Implement Sci Commun. 2020 Jul 03;1:61
pubmed: 32885216
JAMA Intern Med. 2015 Aug;175(8):1369-70
pubmed: 26030753
J Trauma Dissociation. 2020 Jul-Sep;21(4):484-504
pubmed: 32584707
JAMA. 2003 Apr 16;289(15):1969-75
pubmed: 12697800
N C Med J. 2015 Nov-Dec;76(5):294-8
pubmed: 26946858
Adm Policy Ment Health. 2015 Sep;42(5):533-44
pubmed: 24193818
Healthc (Amst). 2013 Jun;1(1-2):37-41
pubmed: 26249638
Perm J. 2019;23:
pubmed: 31634112
Learn Health Syst. 2021 Nov 03;6(2):e10294
pubmed: 35434356
Perm J. 2019;23:
pubmed: 31634111
Perm J. 2023 Jun 15;27(2):43-50
pubmed: 36946078
J Gen Intern Med. 2022 Sep;37(12):3080-3088
pubmed: 34981358
JAMA Intern Med. 2022 Sep 1;182(9):943-952
pubmed: 35877092
Healthc (Amst). 2022 Jun;10(2):100615
pubmed: 35257996
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
J Am Geriatr Soc. 2008 Mar;56(3):413-20
pubmed: 18179480
Healthc (Amst). 2021 Jun;8 Suppl 1:100477
pubmed: 34175094
Implement Sci Commun. 2023 Jan 16;4(1):6
pubmed: 36647162
Jt Comm J Qual Patient Saf. 2021 Apr;47(4):217-227
pubmed: 33549485
JAAPA. 2020 Jan;33(1):51-53
pubmed: 31880652