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Innovative application of RE-AIM to organize & enhance KT for the ABCD Project

2012 RTNA Conference: The heart of the innovation journey
by

Lisa Wozniak

on 9 October 2012

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Transcript of Innovative application of RE-AIM to organize & enhance KT for the ABCD Project

RTNA Conference: The heart of the innovation journey Innovative application of RE-AIM to organize and enhance KT activities for the ABCD Project Establishment & evolution of:
ABCD Advisory Committee
Implementation & Evaluation Steering Committee
Depression Working Group Integrated KT approach: HEALD: pedometer-based walking program to increase amount & intensity of physical activity Alberta's Caring for Diabetes (ABCD) Project consists of a number of QI efforts for people with T2D, including 2 pilot projects: Piloted in 4 non-metro Primary Care Networks Primary outcomes of research study: A1c
Blood pressure
Lipids
# of steps (HEALD)
PHQ-9 score (TeamCare) Network of physicians and allied health professionals who identify priorities and coordinate health services for patient populations RE-AIM Evaluation Framework KT Strategy RE-AIM KT Matrix "...enhance the quality, speed, and public health impact of efforts to translate research into practice" RE-AIM Evaluation Framework RE-AIM KT Matrix BAckground:
ABCD Project Glasgow et al., AJPH 1999 Dimension Definition REACH EFFECTIVENESS ADOPTION IMPLEMENTATION MAINTENANCE ...into target populations ...impact on outcomes ...by target settings & staff ...consistency & costs ...effects over time Audiences & end users consulted at beginning of & during ABCD Project ACHORD
Alberta Health (AH)*
Alberta Health Services (AHS)*
Alberta Medical Association
Alberta Pharmacy Association
Center for Disease Control & Prevention (US)
Chronic Disease Mgmt Programs Provide guidance & advice on start-up, implementation, findings, & KT:
Targeted topic areas (priority areas, RE-AIM)
Key audiences
Forums to present
KT products (e.g., briefing report, webinar) TeamCare: collaborative care model involving a care manager who works with patients and physicians to improve depressive symptoms Johnson et al., Diabetes, Obesity and Metabolism 2009 Katon et al., N. Engl. J. Med. 2010 Interested & involved parties: General Internal Medicine
Health Quality Council of Alberta
Kaiser Permanente (US)
KT scholars
Patients/participants*
PCNs/PCI*
Researchers/evaluators*
Strategic Clinical Networks* Processes (formal & informal): "Hallway" conversations:
e.g., billing codes for collaborative care with AHS Frameworks, like RE-AIM, represent innovative ways to structure KT activities Key Messages Key Messages *indicates key audiences Lisa Wozniak, MA
Research & Evaluation Coordinator
ACHORD, University of Alberta
lwozniak@ualberta.ca Involvement & evolution of interested parties and end users throughout the life of a project is essential Makes KT more manageable and digestible
Full transcript