Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail
University of Washington
Summary
This study evaluates the effectiveness of a health systems strategy (the Systems Analysis and Improvement Approach - SAIA) that packages systems engineering tools (including cascade analysis, flow mapping, and continuous quality improvement) to optimize the management of opioid use disorder (MOUD) care cascade and improve linkages between jails and clinical referral sites. The investigators will 1. study the effectiveness of SAIA on MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics 2. explore determinants of adoption, implementation, and sustainment of SAIA-MOUD across implementation clinics, and 3. estimate the cost and cost-effectiveness of SAIA-MOUD
Description
SAIA is an evidence-based implementation strategy of bundled systems engineering tools designed to optimize complex healthcare delivery systems and improve linkages between clinical and community providers. The SAIA-MOUD study aims to strengthen the quality and continuity of MOUD care, and linkages to social services, across jail and referral clinics in King County, WA. The investigators will implement the SAIA for three years-including a two-year intensive phase and one year of sustainment-at one jail based MOUD program and three referral MOUD clinics. The investigators will then evaluate the…
Eligibility
- Age range
- 18–110 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: Implementation Outcomes (consented) Group 1: * clinic staff/providers at study clinics (JHS, OBOT, Pathways, Sound) * age 18+ Group 2: * current patients at SAIA clinic in the community (OBOT, Pathways, Sound) with jail involvement in the last 12 months * age 18+ Clinical Outcomes (de-identified data, non consented) Group 3: * receive MOUD treatment while incarcerated in King County Jails (WA). * age 18+ * on Medicaid * released to community Exclusion Criteria: Group 1 \& 2: * do not consent Group 3: * not on Medicaid
Interventions
- OtherSystems Analysis and Improvement Approach (SAIA)
SAIA an evidence-based, multi-prong, implementation strategy to improve systems thinking amongst frontline care teams to optimize care quality and continuity. The intervention includes monthly meetings where patient care cascades, process mapping and continuous quality improvement are used to identify bottlenecks and prioritize clinic based solutions.
Location
- University of WashingtonSeattle, Washington