Evaluation means making CQI collaborative (E = MC²): Lessons learned from implementing a new continuous quality...

Area of Science:

• Clinical and Translational Science
• Quality Improvement Science
• Health Services Research

Background:

• The National Institutes of Health's Clinical and Translational Science Award (CTSA) program increasingly emphasizes Continuous Quality Improvement (CQI).
• Institutes for Clinical and Translational Research (ICTR) are central to implementing CTSA initiatives.
• A shift from traditional evaluation to proactive CQI is a key strategic direction.

Purpose of the Study:

• To share lessons learned from implementing a novel CQI process within an ICTR.
• To support other CTSA hubs in establishing effective CQI programs.
• To document a paradigm shift towards a CQI-centric operational model.

Main Methods:

• Implementation of a novel CQI process using the FACE (Focus, Analyze, Change, Evaluate) framework.
• Centralized management approach addressing implementation barriers.
• Establishment of collaborative structures and regular convenings of module leaders.

Main Results:

• Successful improvement of ICTR module activities through the FACE framework.
• Refinement of the CQI process itself over time.
• Cultivation of a participatory culture supporting mutual learning and problem-solving.

Conclusions:

• A shared understanding of CQI's purpose is crucial for successful implementation.
• A centralized management approach combined with collaborative structures facilitates CQI adoption.
• The FACE framework effectively supports both module improvement and CQI process evolution within CTSA hubs.