Continuous quality improvement (CQI) has become an important component to health care delivery but has yet to be fully integrated into community based substance abuse treatment settings. To address this lag and improve the quality of substance abuse treatment delivery, we propose to pilot test a CQI intervention that was developed in collaboration with community based substance abuse treatment providers. In this study, we propose the following aims: 1) Conduct a randomized pilot study to assess the extent to which the CQI intervention leads to process and outcome improvements;2) Investigate the feasibility of CQI implementation by a) Measuring the process and extent of CQI implementation;b) Estimating the resources required to conduct CQI;c) Exploring CQI sustainability. This application is consistent with the goals of PA-09-105 """"""""Building System Capacity for Implementing Evidence-Based Practices in Substance Abuse Treatment and Prevention"""""""" in that it seeks to support a pilot test and implementation evaluation of a CQI intervention in publicly funded substance abuse treatment settings. The project is designed to significantly advance NIDA's understanding of the capacity needed to put CQI into routine and sustained use in treatment delivery settings, which will lay the groundwork for subsequent implementation projects to disseminate these business practices more broadly.

Public Health Relevance

Using a data-driven collaborative approach to managing service delivery may substantially impact addiction treatment quality. The proposed project sets out to pilot test a Continuous Quality Improvement approach in order to study its impact on addiction treatment processes and outcomes of care. Costs and the sustainability of the CQI approach will also be explored. The proposed project fulfills a critical knowledge gap by providing results about building addiction treatment organizational capacities to delivery high quality treatment.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Planning Grant (R34)
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Dissemination and Implementation Research in Health Study Section (DIRH)
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Ducharme, Lori
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Rand Corporation
Santa Monica
United States
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Hunter, Sarah B; Rutter, Carolyn M; Ober, Allison J et al. (2017) Building capacity for continuous quality improvement (CQI): A pilot study. J Subst Abuse Treat 81:44-52
Kulesza, Magdalena; Hunter, Sarah B; Shearer, Amy L et al. (2017) Relationship between Provider Stigma and Predictors of Staff Turnover among Addiction Treatment Providers. Alcohol Treat Q 35:63-70
Hunt, Priscillia; Hunter, Sarah B; Levan, Deborah (2017) Continuous quality improvement in substance abuse treatment facilities: How much does it cost? J Subst Abuse Treat 77:133-140
Hunter, Sarah B; Schwartz, Robert P; Friedmann, Peter D (2016) Introduction to the Special Issue on the Studies on the Implementation of Integrated Models of Alcohol, Tobacco, and/or Drug Use Interventions and Medical Care. J Subst Abuse Treat 60:1-5
Hunter, Sarah B; Ober, Allison J; Paddock, Susan M et al. (2014) Continuous quality improvement (CQI) in addiction treatment settings: design and intervention protocol of a group randomized pilot study. Addict Sci Clin Pract 9:4