1 / 11

QUITS Trial: Measuring QI Intervention Implementation

Learn about the QUITS Trial, an evidence-based quality improvement approach to implementing smoking cessation guidelines. This study examines the effectiveness of a brief counseling program and computerized referrals in primary care settings.

lorine
Download Presentation

QUITS Trial: Measuring QI Intervention Implementation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Measuring QI Intervention Implementation: Helping the Blind Men See?QUITS Trial (Smoking Cessation) QUERI National Meeting Working Group December 12, 2008

  2. QI Intervention (QII) Example • QUITS (Quality Improvement Trial for Smoking cessation) • Evidence-based quality improvement approach to implementing smoking cessation guidelines • Actually Pre-QUERI then part of Substance Use Disorders (SUD) QUERI • Scott Sherman, MD & Becky Yano, PhD (Co-PIs)

  3. QUITS Smoking Cessation Trial • Evidence base: • SC clinic referrals • Tobacco quitlines • PC-based intn’s Education “toolkit” Local QI plan development EBQI Expert review/feedback Performance feedback “local buy-in” “priority-setting” Leadership support

  4. Context Matters: Design for It • QUITS • Regional concentration in southwest (3 networks) • Matched on size/academic affiliation within network • Included VAMCs and CBOCs • Excluded COE’s VAMC • We chose participating sites and randomized within pairs within network

  5. Multiple Data Sources: Measuring Implementation

  6. QUITS Organizational Site Surveys Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

  7. QUITS Administrative Data Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

  8. QUITS Patient Surveys * Screened >36,000 primary care patients to identify, enroll >2,000 current smokers. Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

  9. QUITS Practice Checklist • Smoking cessation expert review of: • Local QI plans (with feedback to practices) • Implementation activities • Completed practice checklist of intervention components • Evidence-based vs. non-evidenced based • Changes from QI plan to implementation Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

  10. QUITS Post-Implementation Survey * Brief counseling program, computerized referral in PC or counselor/nurse hired in SC clinic Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

  11. QUITS Post-Implementation Survey Source: Yano, Rubenstein, Farmer, et al., HSR, 2008;43(5), Part 1:1637-1661.

More Related