We are currently engaged in a number of studies, spanning a variety of content areas and methodological approaches. Please contact us with questions, or to discuss your project.
Developing a New Tool to Standardize the Evaluation of Implementation Science Proposals
Research that seeks to inform health care change may have difficulty translating core components of implementation and improvement sciences within the traditional paradigms used to evaluate efficacy and effectiveness research. The goal of this study was to operationalize existing recommendations for writing implementation science proposals into a new, standardized scoring system. The resulting scoring system, Implementation and Improvement Science Proposals Evaluation Criteria (INSPECT) was applied to pilot grant proposals to evaluate its reliability and utility in measuring the quality of proposed research. Check out our recent publication in Implementation Science.
Barriers and Facilitators to Implementing Priority Initiatives in a Safety Net Hospital
This qualitative study seeks to address the gap in knowledge of common mechanisms that promote or hinder implementation success in low-resource, safety net settings. Specifically, we aim to identify key facilitators, barriers and stakeholder recommendations for implementing initiatives deemed priority status by leadership across inpatient settings in one urban, safety net hospital. The Consolidated Framework for Implementation Research is guiding our qualitative analysis.
Impact of a No Benzodiazepine Pilot Protocol for Severe Alcohol Withdrawal in the Medical Intensive Care Unit
This study seeks to compare patients’ severe alcohol withdrawal treatment outcomes, including the need for mechanical ventilation, that are associated with use of a dual lorazepam and phenobarbital-based protocol versus a benzodiazepine-free protocol. The implementation science aspect of this study seeks to evaluate clinicians’ knowledge, attitudes, and behaviors regarding protocol use before and after implementation of the new benzodiazepine-free protocol.
Memory Disorder Clinic
Boston Medical Center’s Section of Geriatrics implemented a Memory Disorder Clinic with the goal of conducting neuropsychiatric testing of both English and non-English speaking patients. After testing, patients will be referred to the Department of Neurology for follow-up as appropriate. Some outcomes of this study will be caregiver satisfaction, the impact of the clinic on other BMC clinics, provider satisfaction, and wait times for clinical services. Ultimately, this research aims to identify key components that contribute to feasibility, sustainability, acceptability and satisfaction from providers, patients, and caregivers. CIIS is assisting in conducting a formative evaluation of the Memory Disorder Clinic to examine both the implementation process and some clinical outcomes.
Re-admissions Reduction Project
Boston Medical Center is working towards reducing hospital-wide readmissions. Carrie Solomon, Senior Manager of Strategy Implementation, and Dr. Yurkovic worked with BMC’s data analytics team to identify 14 key factors to make up a risk score for each patient who is admitted to the adult medical inpatient unit. Providers will be able to identify the patients and focus interventions on those who are at the highest risk of 30-day readmissions. The hospital is also interested in ensuring that each patient will continue to receive the interventions post-discharge. Overall, using a risk score to decrease readmissions can improve outcomes while cutting costs, and help avoid penalties to hospitals and payers.