title: System-Wide Implementation of Routine Outcome Monitoring and Measurement Feedback System in a National Network of Operational Stress Injury Clinics.
abstract: This manuscript reviews the development and implementation process of the Client Reported Outcome Monitoring Information System in the VA Canada Operational Stress Injury National Network, and reports on outcomes of an evaluation to assess usage, barriers, and facilitators to implementation. The majority of clinicians reported regular use of routine outcomes monitoring, although objective data suggested somewhat lower actual use. In general, clinicians endorsed all barriers and most facilitators as influencing their use of routine outcomes monitoring in a minor way. However, users and non-users differed in their endorsement of facilitators and barriers. Implications for research and implementation efforts are discussed.
authors.affiliation: Operational Stress Injuries National Network (OSINN), Réseau National pour Blessures liées au Stress Opérationel (RNBSO), Veterans Affairs Canada Quebec Regional Office, Place Bonaventure, South-West Portal, Room 665, 800 de la Gauchètiere St. West, Quebec, H5A 1L8, Canada.
authors.forename: David F
authors.initials: DF
authors.lastname: Ross
authors.affiliation: Apex Clinical Services, 115 Seaview Place, Lions Bay, BC, V0N 2E0, Canada.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Ionita
authors.affiliation: Dissemination and Training Division, VA National Center for PTSD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 795 Willow Rd., NC-PTSD 334, Menlo Park, CA, 94025, USA. Shannon.wiltsey-stirman@va.gov.
authors.forename: Shannon Wiltsey
authors.identifier: 0000-0001-9917-5078
authors.initials: SW
authors.lastname: Stirman
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002170:Canada; D005246:Feedback; D005260:Female; D063005:Health Information Systems; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D009726:Nurses; D009784:Occupational Diseases / Q000628:therapy*; D000071066:Patient Reported Outcome Measures; D011570:Psychiatry; D011584:Psychology; D011787:Quality of Health Care; D000068217:Social Workers; D058014:Veterans Health; D055815:Young Adult
keywords: Client-reported outcomes monitoring; Feedback; Implementation; Routine outcomes monitoring