The Atlas Context Data Repository: A Feasible, Acceptable, and Useful Prototype for Context Data Collection and...

Area of Science:

• Health Services Research
• Implementation Science

Background:

• Context is crucial for quality improvement initiatives, but evidence is lacking on which contextual factors predict success.
• Existing context assessment tools rely on literature and expert opinion, not quantitative data.

Purpose of the Study:

• To develop and pilot a prototype for the Atlas Context Data Repository to collect quantitative data on implementation context.
• To assess the feasibility, acceptability, and utility of the prototype for US health care sites.

Main Methods:

• Developed prototype surveys and data collection for the Atlas Context Data Repository.
• Piloted the prototype with eight US health care sites.
• Collected and analyzed quantitative data, conducted site interviews, and held team debriefs.

Main Results:

• Health care sites found the Atlas prototype feasible and acceptable.
• Context assessment reports were useful for sites to understand strengths and challenges.
• Sample data showed good distributions and low missingness, suitable for future analysis.

Conclusions:

• The Atlas Context Data Repository can be feasibly implemented at scale with modifications.
• The repository database can support future statistical analyses with more data.
• Participation in the repository is valuable for health care sites.