An evidence-based template for implementation of multidisciplinary evidence-based practices in a tertiary hospital setting.
Public demand for higher quality and lower cost, evolving pay-for-performance initiatives from payors, and the growing volume of quality "report cards" are driving health care organizations to develop evidence-based practice (EBP) guidelines. Hospitals will be expected to provide the infrastructure and resources needed to support these care processes. Published best practices for implementing EBPs are rooted in organizational and behavioral change theories. Some provide a framework for implementation but lack specific steps to be followed. Others provide process detail, but their focus is too narrow to address the breadth of interdisciplinary care for defined populations. The Saint Vincent Guide for Evidence-Based Practice Implementation is a 4-phase, "fill-in-the-blank" template, road map, and time line for creating interdisciplinary, diagnosis-specific, evidence-based practices to "hard wire" the care delivery process. It is a result of our experiences with and a literature review of EBP implementation best practices that, taken together, substantiate the steps prescribed by the Guide.
Kresse
Mark R
MR
Saint Vincent Health Center, 232 West 25th Street, Erie, PA 16544, USA. mkresse@svhs.org
Kuklinski
Maria A
MA
Cacchione
Joseph G
JG
D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005246:Feedback; D019983:Guideline Adherence / Q000458:organization & administration; D006739:Hospital Administration / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D007857:Leadership; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000458:organization & administration*; D012052:Reimbursement, Incentive / Q000458:organization & administration