Building capacity for continuous quality improvement (CQI): A pilot study.
BACKGROUND AND OBJECTIVE
Little is known about the feasibility, effectiveness, and sustainability of CQI approaches in substance use disorder treatment settings.


METHODS
In the initial phase of this study, eight programs were randomly assigned to receive a CQI intervention or to a waitlist control condition to obtain preliminary information about potential effectiveness. In the second phase, the initially assigned control programs received the CQI intervention to gain additional information about intervention feasibility while sustainability was explored among the initially assigned intervention programs.


RESULTS AND CONCLUSIONS
Although CQI was feasible and sustainable, demonstrating its effectiveness using administrative data was challenging suggesting the need to better align performance measurement systems with CQI efforts. Further, although the majority of staff were enthusiastic about utilizing this approach and reported provider and patient benefits, many noted that dedicated time was needed in order to implement and sustain it.
['Hunter|Sarah B|SB|', 'Rutter|Carolyn M|CM|', 'Ober|Allison J|AJ|', 'Booth|Marika S|MS|']
D000328:Adult D000553:Ambulatory Care D001291:Attitude of Health Personnel D005260:Female D006282:Health Personnel D006801:Humans D007588:Job Satisfaction D008297:Male D010043:Outcome and Process Assessment, Health Care D010865:Pilot Projects D058996:Quality Improvement D012114:Residential Treatment D019966:Substance-Related Disorders
Continuous quality improvement Pilot study Mixed qualitative and quantitative methods Substance use treatment