支持退伍军人管理医疗中心主任在采用创新实践时的决策:开发和实施"快速查看"和"愿望列表"工具
Sarah L Cutrona1,2, Lindsay White1, Danielle Miano1
1Center for Healthcare Organization & Implementation Research, Bedford & Boston VA Medical Centers, Bedford, MA, USA.
退伍军人健康管理局的卓越传播计划改善了实践实施竞标. 快速查看工具增强了投标人对当地需求和资源需求的理解,导致了更明智的投标.
科学领域:
- 医疗保健管理的管理
- 组织学习 组织学习
- 项目评估 项目评价
背景情况:
- 退伍军人卫生管理局 (VHA) 卓越传播计划促进前线员工创新的传播.
- 鱼坦克式的竞赛让全国的领导人参与竞标实施这些做法.
- 评估竞标策略对于成功传播实践至关重要.
研究的目的:
- 评估2016-2020年VHA卓越传播计划中的竞标策略.
- 评估开发的"QuickView"实践比较工具对投标质量的影响.
- 了解该工具如何影响投标者对当地需求和资源的评估.
主要方法:
- 开发和实施"快速查看"工具及其修订版本.
- 通过亲自观察,比赛后的聊天,采访和投标分析收集数据.
- 根据对实施资源要求的理解,对投标进行排名.
主要成果:
- 快速查看工具支持了投标者准备工作,并确定了需要改进的领域.
- 修订后的工具包括员工时间估计和最低执行要求的"愿望清单".
- 在QuickView引入后,投标越来越多地显示了对当地需求的评估 (从4.7%上升到89.7%) 和对特定资源的承诺 (从81.1%上升到89.7%).
结论:
- 快速查看和"愿望清单"工具似乎可以提高对当地需求和资源的评估,以便在实践中实施.
- 考虑到当地环境和资源的可用性,知情的投标对于成功采用实践至关重要.
- 该计划的评估方法有助于改善医疗保健实践的传播.
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