Article type
Year
Abstract
Background: With more than 8,000 systematic reviews published annually, it is challenging for healthcare systems to review new evidence, prioritize practices that warrant implementation, and ultimately implement them. Cochrane reviews are among the most valuable, high-quality sources of evidence for improving quality and care delivery, but strategies to implement the findings of these reviews in learning healthcare systems are less well-understood.
Objective: To describe the knowledge translation and accelerated implementation strategies employed by the Kaiser Permanente Southern California Evidence Scanning for Clinical, Operational, and Practice Efficiencies (E-SCOPE) program.
Methods: E-SCOPE uses a strategic search algorithm to identify high-quality studies of interventions that yield improved health outcomes, quality, and/or efficiency of care delivery. To increase confidence about the validity of the effect of the interventions in question, program staff preferentially select systematic reviews and meta-analyses of interventions, further prioritizing Cochrane reviews. Each quarterly search yields 500-1,000 abstracts; 5%-10% are selected for implementation consideration and reviewed for methodological rigor as well as alignment with organizational goals. E-SCOPE staff then work closely with clinical and operational stakeholders to interpret the evidence and translate evidence into a feasible implementation plan, leveraging existing processes and resources. To help ensure successful implementation and sustainability, E-SCOPE project managers oversee implementation efforts, facilitate practice owner identification, and create measurement plans utilizing data drawn from our electronic health record system.
Results: Since 2014, the program has catalyzed the implementation of 42 practices—17 (40%) based on results from Cochrane systematic reviews—to improve the overall quality of care provided to our 4.6 million members. Using our knowledge translation and use model, the time from study publication to implementation averages 16 months (ranging from 4 to 36 months).
Conclusion: E-SCOPE bolsters the knowledge translation and best-practice adoption process by making optimal use of evidence-based medicine and implementation expertise and leveraging existing channels for practice implementation. Prioritizing the identification of practices with an established, high-quality, and high-confidence evidence base is generalizable and can efficiently and effectively promote rapid learning and implementation within any healthcare system. Approaches to knowledge translation prioritizing Cochrane systematic reviews have the capacity to significantly improve the quality and delivery of patient care. Examples of Cochrane review-based E-SCOPE initiatives will be discussed.
Patient or healthcare consumer involvement: Patient values and preferences are key determining factors in every implementation plan undertaken by E-SCOPE.
Objective: To describe the knowledge translation and accelerated implementation strategies employed by the Kaiser Permanente Southern California Evidence Scanning for Clinical, Operational, and Practice Efficiencies (E-SCOPE) program.
Methods: E-SCOPE uses a strategic search algorithm to identify high-quality studies of interventions that yield improved health outcomes, quality, and/or efficiency of care delivery. To increase confidence about the validity of the effect of the interventions in question, program staff preferentially select systematic reviews and meta-analyses of interventions, further prioritizing Cochrane reviews. Each quarterly search yields 500-1,000 abstracts; 5%-10% are selected for implementation consideration and reviewed for methodological rigor as well as alignment with organizational goals. E-SCOPE staff then work closely with clinical and operational stakeholders to interpret the evidence and translate evidence into a feasible implementation plan, leveraging existing processes and resources. To help ensure successful implementation and sustainability, E-SCOPE project managers oversee implementation efforts, facilitate practice owner identification, and create measurement plans utilizing data drawn from our electronic health record system.
Results: Since 2014, the program has catalyzed the implementation of 42 practices—17 (40%) based on results from Cochrane systematic reviews—to improve the overall quality of care provided to our 4.6 million members. Using our knowledge translation and use model, the time from study publication to implementation averages 16 months (ranging from 4 to 36 months).
Conclusion: E-SCOPE bolsters the knowledge translation and best-practice adoption process by making optimal use of evidence-based medicine and implementation expertise and leveraging existing channels for practice implementation. Prioritizing the identification of practices with an established, high-quality, and high-confidence evidence base is generalizable and can efficiently and effectively promote rapid learning and implementation within any healthcare system. Approaches to knowledge translation prioritizing Cochrane systematic reviews have the capacity to significantly improve the quality and delivery of patient care. Examples of Cochrane review-based E-SCOPE initiatives will be discussed.
Patient or healthcare consumer involvement: Patient values and preferences are key determining factors in every implementation plan undertaken by E-SCOPE.