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Lessons learned from inadequate implementation planning of team-based chronic disease management: implementation
Shannon L Sibbald1,2, Rachelle Van Asseldonk3, Peiwen L Cao3
1Faculty of Health Sciences, University of Western Ontario, London, Canada. ssibbald@uwo.ca.
BMC Health Services Research
|February 13, 2021
Summary
Implementing team-based chronic disease management for COPD requires thorough planning. Key barriers included lack of stakeholder needs assessment, poor staff buy-in, and inadequate patient engagement, hindering program success.
Area of Science:
- Healthcare Management
- Chronic Disease Management
- Implementation Science
Background:
- A team-based chronic disease management program (CDMI) for COPD patients was implemented.
- The program aimed to improve patient care and reduce healthcare utilization through integrated care and technology.
Purpose of the Study:
- To retrospectively evaluate an unsuccessfully implemented chronic disease management program.
- To identify barriers to the implementation of the Chronic Disease Management Initiative (CDMI).
Main Methods:
- Retrospective case-study design utilizing multiple data sources.
- Semi-structured interviews with participants, followed by content analysis using NVivo 10 software.
Main Results:
- Four key implementation barriers were identified: lack of stakeholder needs assessment, insufficient medical staff buy-in, inadequate patient engagement, and contextual challenges.
- Poor communication and lack of integration into usual care contributed to confusion and lack of engagement.
Conclusions:
- Successful implementation requires a theoretically grounded plan that considers practical and contextual factors early in program development.
- Lessons learned emphasize the critical need for early and continuous planning in implementation processes.
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