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Related Experiment Videos

The prospectively-reported implementation update and score (PRIUS): a new method for capturing implementation-related

Edward J Miech^1,2,3,4,5, Nicholas A Rattray^6,7,8,9, Dawn M Bravata^6,7,8,10

¹VA Precision Monitoring (PRIS-M) QUERI, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA. edward.miech@va.gov.

BMC Health Services Research

|February 16, 2019

Summary

This summary is machine-generated.

The Prospectively-Reported Implementation Update and Score (PRIUS) offers an efficient way to track healthcare program implementation. This method captures diverse staff perspectives, leading to necessary adjustments for successful program rollout.

Keywords:

Formative evaluation Health services research Implementation science Local context Program evaluation

Related Experiment Videos

Area of Science:

Healthcare Management
Program Implementation Science
Quality Improvement

Background:

Healthcare program implementation is complex, with varied staff perspectives.
Identifying key issues and solutions during implementation can be challenging.
The Veterans Health Administration (VHA) needed a method to gather ongoing, multi-perspective data on new program implementation.

Purpose of the Study:

To develop an efficient method for collecting detailed, multi-perspective accounts of program implementation progress.
To support and inform active implementation of two new VHA programs.

Main Methods:

The Prospectively-Reported Implementation Update and Score (PRIUS) tool was developed.
PRIUS involved individuals submitting bi-monthly updates on implementation progress.
Updates were accompanied by a score ranging from +3 to -3, reflecting perceived progress.

Main Results:

Over 600 PRIUS updates were collected across two quality improvement projects in 2016-17.
Analysis revealed significant differences in implementation perspectives among staff from various services.
Rapid analysis and reporting of PRIUS data directly informed implementation changes.

Conclusions:

PRIUS provides an efficient, structured approach for detailed, context-sensitive implementation progress tracking.
The PRIUS method is adaptable to various settings and interventions.
This tool facilitates a nuanced understanding of program implementation dynamics.