title: Developing a Quality Assurance System for Multiple Evidence Based Practices in a Statewide Service Improvement Initiative.
abstract: Efforts to implement evidence based practices (EBP) are increasingly common in child-serving systems. However, public systems undertaking comprehensive improvement efforts that aim to increase availability of multiple practices at the same time may struggle to build comprehensive and user-friendly strategies to develop the workforce and encourage adoption, faithful implementation, and sustainability of selected EBPs. Given that research shows model adherence predicts positive outcomes, one critical EBP implementation support is systematic quality, fidelity, and compliance monitoring. This paper describes the development and initial implementation of a quality assurance framework for a statewide EBP initiative within child welfare. This initiative aimed to improve provider practice and monitor provider competence and compliance across four different EBPs, and to inform funding and policy decisions. The paper presents preliminary data as an illustration of lessons learned during the quality monitoring process and concludes with a discussion of the promise and challenges of developing and applying a multi-EBP quality assurance framework for use in public systems.
authors.affiliation: Division of Public Behavioral Health and Justice Policy, Department of Psychiatry and Behavioral Sciences, University of Washington, 2815 Eastlake Ave E., #200, Seattle, WA, 98102, USA. grs1@uw.edu.
authors.forename: Georganna
authors.identifier: http://orcid.org/0000-0001-6854-9954
authors.initials: G
authors.lastname: Sedlar
authors.affiliation: Division of Public Behavioral Health and Justice Policy, Department of Psychiatry and Behavioral Sciences, University of Washington, 2815 Eastlake Ave E., #200, Seattle, WA, 98102, USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Bruns
authors.affiliation: Division of Public Behavioral Health and Justice Policy, Department of Psychiatry and Behavioral Sciences, University of Washington, 2815 Eastlake Ave E., #200, Seattle, WA, 98102, USA.
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Walker
authors.affiliation: Division of Public Behavioral Health and Justice Policy, Department of Psychiatry and Behavioral Sciences, University of Washington, 2815 Eastlake Ave E., #200, Seattle, WA, 98102, USA.
authors.forename: Suzanne E U
authors.initials: SE
authors.lastname: Kerns
authors.affiliation: Division of Public Behavioral Health and Justice Policy, Department of Psychiatry and Behavioral Sciences, University of Washington, 2815 Eastlake Ave E., #200, Seattle, WA, 98102, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Negrete
mesh_terms: D055317:Evidence-Based Practice; D016730:Program Development; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D014861:Washington
keywords: Academic-state partnership; Evidence-based practice; Fidelity; Implementation science; Policy; Quality indicators