Abstract 395: Building A Regional Multi-stakeholder Consortium To Implement Innovation In Healthcare: Lessons From The Quality & Value Innovation Consortium (QVIC)

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Stacy Farr ◽  
Carole J Decker ◽  
John Spertus
Keyword(s):  
Kansas City ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Advisory Board ◽  
Health Departments ◽  
Community Based ◽  
Value Innovation ◽  
Community Based Organizations ◽  
Multi Stakeholder ◽  
Regional Hospitals

Research Objective: A challenge to improving the quality and value of healthcare has been the need for multiple stakeholders to collaborate in a coordinated effort. To address this, a novel program has been developed to create a regional commitment to deliver high quality care that is more patient-centered and efficient. Study Design: The Kansas City Quality & Value Innovation Consortium (QVIC) has created a network of hospitals and other stakeholder to collaborate and innovate on healthcare delivery. This initiative began by first identifying healthcare systems’ priorities through individual meetings with leadership from regional hospitals, including CEOs, CNOs, COOs, CQOs, and CMOs. Concurrently, meetings were held with payers, hospital associations, providers, health departments, researchers, patients, and community-based organizations (CBOs). These interviews identified 32 key quality improvement topics. Focus groups and surveys reduced this to 11 topics that were then selected for community forums where stakeholders provided brief presentations on the biggest challenges and strategies for improving healthcare value within the specified topic. A multi-stakeholder advisory board was created to oversee the program. Through this mixed methods approach, valuable feedback from the strategic advisory board, community forums, and surveys were aggregated and resulted in the selection of two topics. Population Studied: Study participants included leadership from 14 regional hospitals, 4 payer organizations, 2 state hospital associations, 4 public health departments, and 9 community based organizations, as well as 50+ regional researchers. In total, over 75 meetings and interviews with more than 200 individuals and groups were held. The twenty community forums have been attended by over 1,700 attendees. Principal Findings: Evaluations of the community forums have shown broad interest and satisfaction. The QVIC efforts have been recognized as a community asset for helping build collaboration and partnerships across stakeholder groups and competitors. Ultimately, these two regional initiatives (opioid management and transitions in heart failure care to reduce readmissions by impacting social determinants of health) were selected for novel implementation, measurement, and dissemination strategies. A suite of interventions is being offered and adopted by providers, within each of the two regional initiatives. Metrics for quantifying improvements in healthcare value are being developed and data collection is beginning. Implementation strategies are identified and being customized for pragmatic integration into each healthcare system. Conclusions: While the entire country is grappling with the challenge of improving the quality of care, while lowering its costs, Kansas City has modeled a unique culture and strategy for achieving this goal.

scholarly journals The development and evaluation of an HIV implementation science network in New England: lessons learned

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Jacob J. van den Berg ◽  
Elaine O’Keefe ◽  
Daniel Davidson ◽  
David A. Fiellin ◽  
Trace Kershaw ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
New England ◽  
Implementation Science ◽  
Lessons Learned ◽  
Health Departments ◽  
Community Based ◽  
Community Based Organizations ◽  
Community Stakeholders ◽  
Prevention And Treatment ◽  
Seed Funding

Abstract Background Describe and evaluate an implementation science network focused on HIV prevention and treatment in New England. Methods In 2014, we established a partnership among university researchers and community stakeholders to stimulate and support HIV-related implementation research. We solicited information from Network members through surveys, interviews at Network events, and dialog with participants. In 2017, we conducted a sociocentric network assessment of collaborations on research projects, grants, manuscripts, and consultations. Results We identified 988 connections made through the Network that resulted in 185 manuscripts published and 15 grants funded. Our experience indicated that eight factors were instrumental in building and sustaining the Network: (1) acknowledging different perspectives, (2) balancing content and expertise, (3) encouraging consistent engagement, (4) providing seed funding, (5) membership flexibility, (6) maintenance of Network interactions, (7) supporting local HIV prevention and treatment efforts, and (8) maintaining productive relationships with health departments and community-based organizations. Conclusions Developing and maintaining a regional network on implementation science for HIV prevention and treatment is feasible and can facilitate new and productive partnerships among researchers and community organizations and members.

scholarly journals Cost-Effectiveness of Finding New HIV Diagnoses Using Rapid HIV Testing in Community-Based Organizations

2008 ◽  
Vol 123 (3_suppl) ◽  
pp. 94-100 ◽  
Author(s):  
Ram K. Shrestha ◽  
Hollie A. Clark ◽  
Stephanie L. Sansom ◽  
Binwei Song ◽  
Holly Buckendahl ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Hiv Testing ◽  
Kansas City ◽  
Hiv Diagnosis ◽  
Community Based ◽  
Rapid Hiv Testing ◽  
Community Based Organizations ◽  
The People ◽  
Program Costs ◽  
The Cost

Objective. We assessed the cost-effectiveness of determining new human immunodeficiency virus (HIV) diagnoses using rapid HIV testing performed by community-based organizations (CBOs) in Kansas City, Missouri, and Detroit, Michigan. Methods. The CBOs performed rapid HIV testing during April 2004 through March 2006. In Kansas City, testing was performed in a clinic and in outreach settings. In Detroit, testing was performed in outreach settings only. Both CBOs used mobile testing vans. Measures of effectiveness were the number of HIV tests performed and the number of people notified of new HIV diagnoses, based on rapid tests. We retrospectively collected program costs, including those for personnel, test kits, mobile vans, and facility space. Results. The CBO in Kansas City tested a mean of 855 people a year in its clinic and 703 people a year in outreach settings. The number of people notified of new HIV diagnoses was 19 (2.2%) in the clinic and five (0.7%) in outreach settings. The CBO in Detroit tested 976 people a year in outreach settings, and the number notified of new HIV diagnoses was 15 (1.5%). In Kansas City, the cost per person notified of a new HIV diagnosis was $3,637 in the clinic and $16,985 in outreach settings. In the Detroit outreach settings, the cost per notification was $13,448. Conclusions. The cost of providing a new HIV diagnosis was considerably higher in the outreach settings than in the clinic. The variation can be largely explained by differences in the number of undiagnosed infections among the people tested and by the costs of purchasing and operating a mobile van.

Community-based Organizations and Issues in Community Development in an Era Constant Change

2019 ◽  
Vol 10 (7) ◽  
pp. 585-605
Author(s):  
Terrence Thomas ◽  
◽  
Befikadu Legesse ◽  
Cihat Gunden ◽  
◽  
...  
Keyword(s):  
Community Action ◽  
Black Belt ◽  
Valuable Insight ◽  
Top Down ◽  
Community Based ◽  
Community Based Organizations ◽  
Constant Change ◽  
Black Belt Region ◽  
Local Problems ◽  
Community Based Organization

The failure of top-down categorical approaches for generating solutions to many local problems has led to the adoption of alternate approaches. Many scholars believe that a confluence of local and global forces have generated complex problems, which call for new approaches to problem solving. Previously, the top-down approach relied entirely on the knowledgeable elite. Communities were seen as passive study subjects and information flow was one way only- from knowledgeable elites to the less knowledgeable community agents or community-based organization acting on behalf of communities. The objectives of this study are to provide a review of governance as a means of organizing community action to address community problems in the Black Belt Region (BBR) of the Southeastern United States, and an assessment of community problems in the BBR from the perspectives of community-based organizations (CBOs). Data was collected from CBOs via a telephone survey in eleven Southeastern states and via listening sessions conducted with CBOs in 9 Southeastern states. The study provides valuable insight regarding the challenges faced by these organizations and strategies they employ in adapting to serve their communities.

scholarly journals Facilitators and barriers to the utilization of the ACT SMART Implementation Toolkit in community-based organizations: a qualitative study

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Aksheya Sridhar ◽  
Amy Drahota ◽  
Kiersten Walsworth
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Autism Spectrum ◽  
Ease Of Use ◽  
Science Literature ◽  
Community Based ◽  
Web Based ◽  
Community Based Organizations ◽  
Facilitators And Barriers ◽  
Acceptance Model

Abstract Background Evidence-based practices (EBPs) have been shown to improve behavioral and mental health outcomes for children diagnosed with autism spectrum disorder (ASD). Research suggests that the use of these practices in community-based organizations is varied; however, the utilization of implementation guides may bridge the gap between research and practice. The Autism Community Toolkit: Systems to Measure and Adopt Research-Based Treatments (ACT SMART) Implementation Toolkit is a web-based implementation toolkit developed to guide organization-based implementation teams through EBP identification, adoption, implementation, and sustainment in ASD community-based organizations. Methods This study examined the facilitators and barriers (collectively termed “determinants”) to the utilization of this toolkit, based on the perspectives of implementation teams at six ASD community-based organizations. Two independent coders utilized the adapted EPIS framework and the Technology Acceptance Model 3 to guide qualitative thematic analyses of semi-structured interviews with implementation teams. Results Salient facilitators (e.g., facilitation teams, facilitation meetings, phase-specific activities) and barriers (e.g., website issues, perceived lack of ease of use of the website, perceived lack of resources, inner context factors) were identified, highlighting key determinants to the utilization of this toolkit. Additionally, frequent determinants and determinants that differed across adapted EPIS phases of the toolkit were noted. Finally, analyses highlighted two themes: (a) Inner Context Determinants to use of the toolkit (e.g., funding) and (b) Innovation Determinants (e.g., all website-related factors), indicating an interaction between the two models utilized to guide study analyses. Conclusions Findings highlighted several factors that facilitated the utilization of this implementation guide. Additionally, findings identified key areas for improvement for future iterations of the ACT SMART Implementation Toolkit. Importantly, these results may inform the development, refinement, and utilization of implementation guides with the aim of increasing the uptake of EBPs in community-based organizations providing services to children with ASD and their families. Finally, these findings contribute to the implementation science literature by illustrating the joint use of the EPIS framework and Technology Acceptance Model 3 to evaluate the implementation of a web-based toolkit within community-based organizations.

How Worker Centers Organize Low-Wage Workers: An Exploration of Targets and Strategies

2021 ◽  
pp. 0160449X2198942
Author(s):  
Jessica Garrick
Keyword(s):  
Public Policy ◽  
Private Sector ◽  
Progressive Era ◽  
Service Provision ◽  
Government Agencies ◽  
Community Based ◽  
Worker Centers ◽  
Center Staff ◽  
Community Based Organizations ◽  
Worker Center

In response to the growing absence of unions from the private sector, community-based organizations known as worker centers have emerged as a new front in protecting and organizing workers. Scholars generally argue that worker centers have converged on a model of combining service provision with organizing and advocacy, supported primarily by funding from foundations and government agencies. I draw on interviews conducted with worker center staff, a dataset compiled from their public materials, and secondary research to add to the existing literature and to argue that a clear categorization of worker centers can be derived by attention to their primary workplace strategies. First, worker centers can be meaningfully distinguished by whether they attempt to raise standards in specific industries versus responding to problems in individual workplaces. But they can also be distinguished based on the extent to which they view public policy or winning agreements with employers as the primary route to systemic improvements. These divergences in strategy echo Progressive-era debates about the role for the state in redressing workplace ills. Similar to that era, strategic differences among today’s worker centers are driven less by ideology and more by the distinct structural challenges facing workers in particular political and economic contexts.

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