title: The Quality, Implementation, and Evaluation Model: A Clinical Practice Model for Sustainable Interventions.
abstract: Major efforts have been directed toward the implementation of sustainable quality improvement. To date, progress has been noted using various metrics and performance measures; however, successful implementation has proven challenging. The Quality, Implementation, and Evaluation (QIE) model, derived from Donabedian's structure component, presents a framework for implementation of specific activities. The QIE model consists of Policy, Patient Preparedness, Provider Competency, and Performance and Accountability, to guide specific practice initiatives. The implementation of alcohol-based pre-operative skin prep was evaluated in a sample of 17 hospitals and demonstrated that hospitals actively engaged in the components of the model demonstrated a significantly higher use of alcohol-based skin preparation agent than hospitals that did not engage in QIE model activities. The QIE model presents a powerful and actionable implementation model for mid-level management and clinical leadership. Future studies will further evaluate the impact of the specific components of the QIE model.
authors.affiliation: University of Michigan, Ann Arbor, USA antalsma@umich.edu.
authors.forename: AkkeNeel
authors.initials: A
authors.lastname: Talsma
authors.affiliation: University of Michigan, Ann Arbor, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: McLaughlin
authors.affiliation: University of Michigan, Ann Arbor, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Bathish
authors.affiliation: University of Michigan, Ann Arbor, USA.
authors.forename: Rattima
authors.initials: R
authors.lastname: Sirihorachai
authors.affiliation: University of Michigan, Ann Arbor, USA.
authors.forename: Rafael
authors.initials: R
authors.lastname: Kuttner
mesh_terms: D055317:Evidence-Based Practice / Q000379:methods / Q000592:standards; D006801:Humans; D015397:Program Evaluation / Q000379:methods / Q000592:standards*; D058996:Quality Improvement
keywords: Donabedian’s model; alcohol-based skin preparation agent; evidence-based practice; implementation model; practice evaluation