Tracking implementation strategies in the randomized rollout of a Veterans Affairs national opioid risk management initiative.

ABSTRACT:

Background

In 2018, the Department of Veterans Affairs (VA) issued Notice 2018-08 requiring facilities to complete "case reviews" for Veterans identified in the Stratification Tool for Opioid Risk Mitigation (STORM) dashboard as high risk for adverse outcomes among patients prescribed opioids. Half of the facilities were randomly assigned to a Notice version including additional oversight. We evaluated implementation strategies used, whether strategies differed by randomization arm, and which strategies were associated with case review completion rates.

Methods

Facility points of contact completed a survey assessing their facility's use of 68 implementation strategies based on the Expert Recommendations for Implementing Change taxonomy. We collected respondent demographic in

SUBMITTER: Rogal SS 

PROVIDER: S-EPMC7313133 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature