Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project
IntroductionA strategy for transitioning implementation successfully from pre-implementation to active implementation is to hold a team “kickoff.” The objectives of this manuscript are: (1) to present the frameworks that guided the development of the Protocol-guided Rapid Evaluation of Veterans Expe...
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Frontiers Media S.A.
2025-06-01
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| author | Sean A. Baird Sean A. Baird Teresa M. Damush Teresa M. Damush Teresa M. Damush Teresa M. Damush Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Lauren S. Penney Lauren S. Penney Lauren S. Penney Edward J. Miech Edward J. Miech Edward J. Miech Edward J. Miech Barbara J. Homoya Jared Ferguson Laura J. Myers Laura J. Myers Laura J. Myers Laura J. Myers Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata |
| author_facet | Sean A. Baird Sean A. Baird Teresa M. Damush Teresa M. Damush Teresa M. Damush Teresa M. Damush Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Lauren S. Penney Lauren S. Penney Lauren S. Penney Edward J. Miech Edward J. Miech Edward J. Miech Edward J. Miech Barbara J. Homoya Jared Ferguson Laura J. Myers Laura J. Myers Laura J. Myers Laura J. Myers Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata |
| author_sort | Sean A. Baird |
| collection | DOAJ |
| description | IntroductionA strategy for transitioning implementation successfully from pre-implementation to active implementation is to hold a team “kickoff.” The objectives of this manuscript are: (1) to present the frameworks that guided the development of the Protocol-guided Rapid Evaluation of Veterans Experiencing New Transient neurological symptoms (PREVENT) kickoff strategy, (2) describe design elements of the kickoff and how they contribute to achieving PREVENT kickoff aims; forming teams, developing an action plan, and launching active implementation (3) examine the perceived usefulness of those kickoff design elements toward achieving kickoff aims.MethodsPREVENT was a stepped-wedge trial to improve the quality of Transient Ischemic Attack (TIA) care at six Veterans Affairs (VA) medical centers. The PREVENT kickoff was designed from multiple frameworks: theory of change principles for process improvement; Consolidated Framework for Implementation Research (CFIR); social learning models; and systems redesign. Data collected included pre-kickoff planning documents and post-kickoff debriefs from the PREVENT national team, Audience Response System (ARS) data, post-kickoff site participant evaluations and semi-structured interviews.ResultsSite team participants reflected positively on the framework driven, interactive and interpersonal design elements, team building, and action plan exercises, and found them useful for a successful project launch. In-person and hybrid set-up of the kickoff, interactive elements, and team formation activities emphasized the quality problem, and motivated site implementation providers to plan for stroke/TIA care improvement.ConclusionsImplementation team kickoffs during pre-implementation are a useful approach to inform and engage local clinical teams and to form plans for practice changes to improve clinical care.
Clinical Trial Registrationclinicaltrials.gov, identifier NCT02769338. |
| format | Article |
| id | doaj-art-8d24ffbf748e488391dfcd2839255526 |
| institution | OA Journals |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-06-01 |
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| spelling | doaj-art-8d24ffbf748e488391dfcd28392555262025-08-20T02:35:32ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-06-01510.3389/frhs.2025.15806531580653Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement projectSean A. Baird0Sean A. Baird1Teresa M. Damush2Teresa M. Damush3Teresa M. Damush4Teresa M. Damush5Nicholas A. Rattray6Nicholas A. Rattray7Nicholas A. Rattray8Nicholas A. Rattray9Lauren S. Penney10Lauren S. Penney11Lauren S. Penney12Edward J. Miech13Edward J. Miech14Edward J. Miech15Edward J. Miech16Barbara J. Homoya17Jared Ferguson18Laura J. Myers19Laura J. Myers20Laura J. Myers21Laura J. Myers22Dawn M. Bravata23Dawn M. Bravata24Dawn M. Bravata25Dawn M. Bravata26Dawn M. Bravata27Department of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesHealth Services Research (HSR), Regenstrief Institute, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesHealth Services Research (HSR), Regenstrief Institute, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesVA HSR&D Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, South Texas Veterans Health Care System, San Antonio, TX, United StatesSchool of Medicine, University of Texas Health San Antonio, San Antonio, TX, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesHealth Services Research (HSR), Regenstrief Institute, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesHealth Services Research (HSR), Regenstrief Institute, Indianapolis, IN, United StatesDepartment of Veterans Affairs(VA), Health Services Research (HSR) Expanding Expertise Through E-health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI) Center, Indianapolis, IN, United StatesDepartment of Veterans Affairs (VA) Health Systems Research (HSR) Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, United StatesDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesHealth Services Research (HSR), Regenstrief Institute, Indianapolis, IN, United StatesDepartment of Neurology, Indiana University School of Medicine, Indianapolis, IN, United StatesIntroductionA strategy for transitioning implementation successfully from pre-implementation to active implementation is to hold a team “kickoff.” The objectives of this manuscript are: (1) to present the frameworks that guided the development of the Protocol-guided Rapid Evaluation of Veterans Experiencing New Transient neurological symptoms (PREVENT) kickoff strategy, (2) describe design elements of the kickoff and how they contribute to achieving PREVENT kickoff aims; forming teams, developing an action plan, and launching active implementation (3) examine the perceived usefulness of those kickoff design elements toward achieving kickoff aims.MethodsPREVENT was a stepped-wedge trial to improve the quality of Transient Ischemic Attack (TIA) care at six Veterans Affairs (VA) medical centers. The PREVENT kickoff was designed from multiple frameworks: theory of change principles for process improvement; Consolidated Framework for Implementation Research (CFIR); social learning models; and systems redesign. Data collected included pre-kickoff planning documents and post-kickoff debriefs from the PREVENT national team, Audience Response System (ARS) data, post-kickoff site participant evaluations and semi-structured interviews.ResultsSite team participants reflected positively on the framework driven, interactive and interpersonal design elements, team building, and action plan exercises, and found them useful for a successful project launch. In-person and hybrid set-up of the kickoff, interactive elements, and team formation activities emphasized the quality problem, and motivated site implementation providers to plan for stroke/TIA care improvement.ConclusionsImplementation team kickoffs during pre-implementation are a useful approach to inform and engage local clinical teams and to form plans for practice changes to improve clinical care. Clinical Trial Registrationclinicaltrials.gov, identifier NCT02769338.https://www.frontiersin.org/articles/10.3389/frhs.2025.1580653/fullkickoffimplementation strategiesquality improvementaction planteam |
| spellingShingle | Sean A. Baird Sean A. Baird Teresa M. Damush Teresa M. Damush Teresa M. Damush Teresa M. Damush Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Nicholas A. Rattray Lauren S. Penney Lauren S. Penney Lauren S. Penney Edward J. Miech Edward J. Miech Edward J. Miech Edward J. Miech Barbara J. Homoya Jared Ferguson Laura J. Myers Laura J. Myers Laura J. Myers Laura J. Myers Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Dawn M. Bravata Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project Frontiers in Health Services kickoff implementation strategies quality improvement action plan team |
| title | Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project |
| title_full | Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project |
| title_fullStr | Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project |
| title_full_unstemmed | Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project |
| title_short | Using a “Kickoff” to build implementation partner teams and action plans for active implementation of a quality improvement project |
| title_sort | using a kickoff to build implementation partner teams and action plans for active implementation of a quality improvement project |
| topic | kickoff implementation strategies quality improvement action plan team |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1580653/full |
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