Assessing long-term sustainment of clinic participation in NIATx200: Results and a new methodological approach

Journal of Substance Abuse Treatment
James H FordJames M Robinson

Abstract

Sustainability frameworks differentiate between sustainability capacity and sustainment of organizational change. Multiple studies have examined sustainability capacity. Methodological approaches to assess long-term sustainment have not been explored. This study addresses this gap by describing the development of a long-term sustainment methodology and evaluating its application utilizing data from substance abuse clinics participating in a quality improvement collaborative. The study involved clinics (n = 121) in three states (MI, NY and WA) participating in the 2007-2009 NIATx200 quality improvement (QI) intervention. It extended the primary analysis to focus on clinics' long-term sustainment of wait time, retention and admission improvements. Long-term sustainment was defined as two years post end of the active implementation period (Calendar Years 2010 and 2011). The analysis defined case exclusion criteria and spline "knot" time intervals; allowed for Cp statistic use to address clinic data volatility; established the structure of sustainment plots and explored differences between NIATx implementation strategies. Example spline and sustain plots highlight the application of the long-term sustainment methodology for NIATx20...Continue Reading

Citations

Feb 23, 2021·Journal of Perioperative Practice·Susan E EklundSheila M Ryan-Barnett
Aug 5, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Helene Chokron GarneauMark P McGovern

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