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Implementation of a regional quality improvement collaborative to improve care of people living with opioid use disorder in a Canadian setting Beamish, Laura; Sagorin, Zach; Stanley, Cole; English, Krista; Garelnabi, Rana; Cousineau, Danielle; Barrios, Rolando; Klimas, Jan

Abstract

Background: Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe the planning and implementation of a quality improvement initiative aimed at closing gaps in care for people living with OUD through changes to workflow and care processes in Vancouver, Canada. Methods: The Best-practice in Oral Opioid agoniSt Therapy (BOOST) Collaborative followed the Institute for Healthcare Improvement’s Breakthrough Series Collaborative methodology over 18-months. Teams participated in a series of activities and events to support implementing, measuring, and sharing best practices in OAT and OUD care. Teams were assigned monthly implementation scores to monitor their progress on meeting Collaborative aims and implementing changes. Results: Seventeen health care teams from a range of health care practices caring for a total of 4301 patients with a documented diagnosis of OUD, or suspected OUD based on electronic medical record chart data participated in the Collaborative. Teams followed the Breakthrough Series Collaborative methodology closely and reported monthly on a series of standardized process and outcome indicators. The majority of (59%) teams showed some improvement throughout the Collaborative as indicated by implementation scores. Conclusions: Descriptive data from the evaluation of this initiative illustrates its success. It provides further evidence to support the implementation of quality improvement interventions to close gaps in OUD care processes and treatment outcomes for people living with OUD. This system-level approach has been spread across British Columbia and could be used by other jurisdictions facing similar overdose crises.

Item Metadata

Title
Implementation of a regional quality improvement collaborative to improve care of people living with opioid use disorder in a Canadian setting
Creator
Beamish, Laura; Sagorin, Zach; Stanley, Cole; English, Krista; Garelnabi, Rana; Cousineau, Danielle; Barrios, Rolando; Klimas, Jan
Contributor
British Columbia Centre for Excellence in HIV/AIDS; St. Paul's Hospital (Vancouver, B.C.); British Columbia Centre on Substance Use
Publisher
BioMed Central
Date Issued
2019-09-14
Description
Background: Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe the planning and implementation of a quality improvement initiative aimed at closing gaps in care for people living with OUD through changes to workflow and care processes in Vancouver, Canada. Methods: The Best-practice in Oral Opioid agoniSt Therapy (BOOST) Collaborative followed the Institute for Healthcare Improvement’s Breakthrough Series Collaborative methodology over 18-months. Teams participated in a series of activities and events to support implementing, measuring, and sharing best practices in OAT and OUD care. Teams were assigned monthly implementation scores to monitor their progress on meeting Collaborative aims and implementing changes. Results: Seventeen health care teams from a range of health care practices caring for a total of 4301 patients with a documented diagnosis of OUD, or suspected OUD based on electronic medical record chart data participated in the Collaborative. Teams followed the Breakthrough Series Collaborative methodology closely and reported monthly on a series of standardized process and outcome indicators. The majority of (59%) teams showed some improvement throughout the Collaborative as indicated by implementation scores. Conclusions: Descriptive data from the evaluation of this initiative illustrates its success. It provides further evidence to support the implementation of quality improvement interventions to close gaps in OUD care processes and treatment outcomes for people living with OUD. This system-level approach has been spread across British Columbia and could be used by other jurisdictions facing similar overdose crises.
Subject
Opioid use disorder; Opioid agonist therapy; Methadone; Suboxone; Buprenorphine/naloxone; Retention; Quality improvement; Primary care; Substance use disorder; Mental health
Genre
Article
Type
Text
Language
eng
Date Available
2019-09-16
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0380891
URI
http://hdl.handle.net/2429/71690
Affiliation
Medicine, Faculty of; Other UBC; Non UBC; Medicine, Department of
Citation
BMC Health Services Research. 2019 Sep 14;19(1):663
Publisher DOI
10.1186/s12913-019-4472-8
Peer Review Status
Reviewed
Scholarly Level
Faculty
Copyright Holder
The Author(s).
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
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Attribution 4.0 International (CC BY 4.0)