title: Lessons learned from a quality improvement intervention with homeless veteran services.
abstract: Homeless veterans are a vulnerable population, with high mortality and morbidity rates. Evidence-based practices for homelessness have been challenging to implement. This study engaged staff members from three VA homeless programs to improve their quality using Getting-To-Outcomes (GTO), a model and intervention of trainings and technical assistance that builds practitioner capacity to plan, implement, and self-evaluate evidence-based practices. Primarily used in community-based, non-VA settings, this study piloted GTO in VA by creating a GTO project within each homeless program and one across all three. The feasibility and acceptability of GTO in VA is examined using the results of the projects, time spent on GTO, and data from focus groups and interviews. With staff members averaging 33 minutes per week on GTO, each team made significant programmatic changes. Homeless staff stated GTO was helpful, and that high levels of communication, staff member commitment to the program, and technical assistance were critical.
authors.affiliation: VISN 4 Mental Illness Research, Education and Clinical Center at VA Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA. chinman@rand.org
authors.forename: Matthew
authors.initials: M
authors.lastname: Chinman
authors.forename: Gordon
authors.initials: G
authors.lastname: Hannah
authors.forename: Sharon
authors.initials: S
authors.lastname: McCarthy
mesh_terms: D057191:Capacity Building; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005240:Feasibility Studies; D017144:Focus Groups; D006302:Health Services Research; D006703:Ill-Housed Persons; D006801:Humans; D017146:Models, Organizational; D010865:Pilot Projects; D015397:Program Evaluation; D036301:Qualitative Research; D058996:Quality Improvement / Q000458:organization & administration*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration*; D014728:Veterans