TY - JOUR
T1 - Classifying the effectiveness of veterans affairs guideline implementation approaches
AU - BootsMiller, Bonnie J.
AU - Yankey, Jon W.
AU - Flach, Stephen D.
AU - Ward, Marcia M.
AU - Vaughn, Thomas E.
AU - Welke, Karl F.
AU - Doebbeling, Bradley N.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2004
Y1 - 2004
N2 - Hospitals use numerous guideline implementation approaches with varying success. Approaches have been classified as consistently, variably, or minimally effective, with multiple approaches being most effective. This project assesses the Department of Veterans Affairs (VA) use of effective guideline implementation approaches. A survey of 123 VA quality managers assessed the approaches used to implement the chronic obstructive pulmonary disease, diabetes mellitus, congestive heart failure, and major depressive disorder guidelines. Approaches were categorized based on their effectiveness, and the total number of approaches used was calculated. Commonly used approaches were clinical meetings, summaries, and revised forms. Consistently and minimally effective approaches were used most frequently. Most hospitals used 4-7 approaches. Odds ratios demonstrated that consistently effective approaches were paired with minimally and variably effective approaches. The frequent use of consistently effective approaches and multiple approaches benefits VA adherence. However, VA hospitals should consider selective combinations of approaches to ensure the use of the most effective implementation methods.
AB - Hospitals use numerous guideline implementation approaches with varying success. Approaches have been classified as consistently, variably, or minimally effective, with multiple approaches being most effective. This project assesses the Department of Veterans Affairs (VA) use of effective guideline implementation approaches. A survey of 123 VA quality managers assessed the approaches used to implement the chronic obstructive pulmonary disease, diabetes mellitus, congestive heart failure, and major depressive disorder guidelines. Approaches were categorized based on their effectiveness, and the total number of approaches used was calculated. Commonly used approaches were clinical meetings, summaries, and revised forms. Consistently and minimally effective approaches were used most frequently. Most hospitals used 4-7 approaches. Odds ratios demonstrated that consistently effective approaches were paired with minimally and variably effective approaches. The frequent use of consistently effective approaches and multiple approaches benefits VA adherence. However, VA hospitals should consider selective combinations of approaches to ensure the use of the most effective implementation methods.
KW - Guideline implementation
KW - Practice guidelines
KW - Quality
KW - United States Department of Veterans Affairs
UR - http://www.scopus.com/inward/record.url?scp=9344225706&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=9344225706&partnerID=8YFLogxK
U2 - 10.1177/106286060401900604
DO - 10.1177/106286060401900604
M3 - Article
C2 - 15620076
AN - SCOPUS:9344225706
SN - 1062-8606
VL - 19
SP - 248
EP - 254
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 6
ER -