Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven
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Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven implementation strategies to improve cirrhosis care for Veterans Shari S. Rogal1,2* , Vera Yakovchenko3, Timothy Morgan4,5, Jasmohan S. Bajaj6,7, Rachel Gonzalez8, Angela Park9, Lauren Beste10,11, Edward J. Miech12, Carolyn Lamorte1, Brittney Neely1, Sandra Gibson1, Patrick S. Malone13, Maggie Chartier14, Tamar Taddei15,16, Guadalupe Garcia-Tsao15,16, Byron J. Powell17, Jason A. Dominitz18,19, David Ross14 and Matthew J. Chinman1,20
Abstract Background: Cirrhosis is a rapidly increasing cause of global mortality. To improve cirrhosis care, the Veterans Health Administration (VHA) developed the Hepatic Innovation Team (HIT) Collaborative to support VA Medical Centers (VAMCs) to deliver evidence-based cirrhosis care. This randomized HIT program evaluation aims to develop and assess a novel approach for choosing and applying implementation strategies to improve the quality of cirrhosis care. (Continued on next page)
* Correspondence: [email protected]; [email protected] 1 Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Research Office Building (151R), University Drive C, Pittsburgh, PA 15240, USA 2 Departments of Medicine and Surgery, University of Pittsburgh, Pittsburgh, PA, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Rogal et al. Implementation Science
(2020) 15:92
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Methods: Evaluation aims are to (1) empirically determine which combinations of implementation strategies are associated with successful implementation of evidence-based practices (EBPs) for Veterans with cirrhosis, (2) manualize these “datadriven” implementation strategies, and (3) assess the effectiveness of data-driven implementation strategies in increasing cirrhosis EBP uptake. Aim 1 will include an online survey of all VAMCs’
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