title: Ensuring Support for Research and Quality Improvement (QI) Networks: Four Pillars of Sustainability-An Emerging Framework.
abstract: Multi-institutional research and quality improvement (QI) projects using electronic clinical data (ECD) hold great promise for improving quality of care and patient outcomes but typically require significant infrastructure investments both to initiate and maintain the project over its duration. Consequently, it is important for these projects to think holistically about sustainability to ensure their long-term success. Four "pillars" of sustainability are discussed based on the experiences of EDM Forum grantees and other research and QI networks. These include trust and value, governance, management, and financial and administrative support. Two "foundational considerations," adaptive capacity and policy levers, are also discussed.
authors.affiliation: AcademyHealth.
authors.forename: Erin
authors.initials: E
authors.lastname: Holve
references.citation: J Pain Palliat Care Pharmacother. 2008;22(4):306-11
references.pmid: 21923316
references.citation: JAMA. 2012 Apr 18;307(15):1583-4
references.pmid: 22511682
references.citation: Med Care. 2012 Jul;50 Suppl:S77-81
references.pmid: 22692264