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dc.contributor.authorVega, Ryan
dc.contributor.authorJackson, George L.
dc.contributor.authorHenderson, Blake
dc.contributor.authorClancy, Carolyn
dc.contributor.authorMcPhail, Jennifer
dc.contributor.authorCutrona, Sarah L.
dc.contributor.authorDamschroder, Laura J.
dc.contributor.authorBhatnagar, Saurabha
dc.date2022-08-11T08:10:35.000
dc.date.accessioned2022-08-23T17:13:55Z
dc.date.available2022-08-23T17:13:55Z
dc.date.issued2019-09-19
dc.date.submitted2019-11-18
dc.identifier.citation<p>Perm J. 2019;23:10.7812/TPP/18.309. doi: 10.7812/TPP/18.309. Epub 2019 Sep 19. <a href="https://doi.org/10.7812/TPP/18.309">Link to article on publisher's site</a></p>
dc.identifier.issn1552-5767 (Linking)
dc.identifier.doi10.7812/TPP/18.309
dc.identifier.pmid31634112
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46840
dc.description.abstractThe time it takes for clinical innovation and evidence-based practices to reach patients remains a major challenge for the health care sector. In 2015, the Veterans Health Administration (VHA) launched the Diffusion of Excellence Initiative aimed at aligning organizational resources with early-stage to midstage promising practices and innovations to replicate, scale, and eventually spread those with greatest potential for impact and positive outcomes. Using a 5-step systematic approach refined over time, frontline VHA staff have submitted more than 1676 practices since the initiative's inception, 47 of which have been selected as high-impact, Gold Status practices. These Gold Status practices have been replicated more than 412 times in Veterans Affairs hospitals across the country, improving care for more than 100,000 veterans and approximately $22.6 million in cost avoidance for the VHA. More importantly, practices such as Project HAPPEN (Hospital-Acquired Pneumonia Prevention by Engaging Nurses to complete oral care) and rapid availability of intranasal naloxone have saved veterans' lives. Several practices are now being implemented across the country, and the Diffusion of Excellence Initiative is playing a pivotal role as the VHA works to modernize its health care system. This initiative serves as a promising model for other health care systems seeking to accelerate the spread and adoption of clinical innovation and evidence-based practices.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31634112&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.7812/TPP/18.309
dc.subjectbest practices
dc.subjectevidence-based practices
dc.subjectinnovation health coaching
dc.subjectintegrative
dc.subjectmultimodal
dc.subjectpsychiatry
dc.subjectwellness coaching
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMilitary and Veterans Studies
dc.titleDiffusion of Excellence: Accelerating the Spread of Clinical Innovation and Best Practices across the Nation's Largest Health System
dc.typeJournal Article
dc.source.journaltitleThe Permanente journal
dc.source.volume23
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1309
dc.identifier.contextkey15808467
html.description.abstract<p>The time it takes for clinical innovation and evidence-based practices to reach patients remains a major challenge for the health care sector. In 2015, the Veterans Health Administration (VHA) launched the Diffusion of Excellence Initiative aimed at aligning organizational resources with early-stage to midstage promising practices and innovations to replicate, scale, and eventually spread those with greatest potential for impact and positive outcomes. Using a 5-step systematic approach refined over time, frontline VHA staff have submitted more than 1676 practices since the initiative's inception, 47 of which have been selected as high-impact, Gold Status practices. These Gold Status practices have been replicated more than 412 times in Veterans Affairs hospitals across the country, improving care for more than 100,000 veterans and approximately $22.6 million in cost avoidance for the VHA. More importantly, practices such as Project HAPPEN (Hospital-Acquired Pneumonia Prevention by Engaging Nurses to complete oral care) and rapid availability of intranasal naloxone have saved veterans' lives. Several practices are now being implemented across the country, and the Diffusion of Excellence Initiative is playing a pivotal role as the VHA works to modernize its health care system. This initiative serves as a promising model for other health care systems seeking to accelerate the spread and adoption of clinical innovation and evidence-based practices.</p>
dc.identifier.submissionpathqhs_pp/1309
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pages10.7812/TPP/18.309


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