The Quality, Implementation, and Evaluation Model: A Clinical Practice Model for Sustainable Interventions.

Area of Science:

• Healthcare Management
• Quality Improvement Science
• Clinical Practice Implementation

Background:

• Sustainable quality improvement initiatives face implementation challenges despite progress in metrics.
• Existing frameworks often lack actionable guidance for specific practice changes.
• Donabedian's structure component provides a basis for developing implementation models.

Purpose of the Study:

• To introduce and evaluate the Quality, Implementation, and Evaluation (QIE) model as a framework for implementing specific healthcare activities.
• To assess the impact of the QIE model on the adoption of alcohol-based pre-operative skin preparation.

Main Methods:

• Development of the QIE model with components: Policy, Patient Preparedness, Provider Competency, and Performance and Accountability.
• Evaluation of alcohol-based pre-operative skin prep implementation across 17 hospitals.
• Comparative analysis of QIE model engagement versus non-engagement in participating hospitals.

Main Results:

• Hospitals actively engaged with the QIE model demonstrated significantly higher utilization of alcohol-based skin preparation agents.
• Engagement with the QIE model components correlated positively with successful implementation of the targeted practice.
• The QIE model provided a structured approach to guide practice initiatives.

Conclusions:

• The Quality, Implementation, and Evaluation (QIE) model is a powerful and actionable framework for mid-level management and clinical leadership.
• The QIE model facilitates the successful implementation of specific quality improvement activities, such as pre-operative skin preparation.
• Further research is warranted to explore the impact of individual QIE model components on healthcare outcomes.