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Development of a New Service Delivery Model for Managing Shoulder Injuries in a Workers' Compensation Population Using an Evaluation Framework
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| Presenter(s):
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| Pamela Wasson, WorkSafeNB, pam.wasson@ws-ts.nb.ca
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| Barbara Keir, WorkSafeNB, barb.keir@ws-ts.nb.ca
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| Abstract:
WorkSafe New Brunswick identified that claim duration and outcomes for clients with shoulder injuries were poor relative to other diagnostic groups. A review identified there was opportunity to improve access to appropriate medical management and align rehabilitation with current best practice. A new model for case management and medical management was developed. An evaluation model was used to test the model and determine the impact. A logic model was used to identify all stakeholders that served as inputs to the model, to determine outputs used in formative evaluation, including evaluation of the implementation of the program, used to provide feedback to providers and to revise the model as required. Short and long term outcomes formed the summative data that supported the decision to adopt this model for all New Brunswick injured workers with shoulder injuries.
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An Examination of Perceptual and Structural Barriers to Participation in a Stroke Quality Improvement Network
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| Presenter(s):
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| Neale Chumbler, Veterans Affairs Center for Implementing Evidence-based Practice, neale.chumbler@va.gov
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| Elizabeth Sternke, Veterans Affairs Center for Implementing Evidence-based Practice, elizabeth.sternke@va.gov
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| Abstract:
We evaluated an ongoing health information and communication strategies established by the Department of Veterans Affairs (VA) Stroke Quality Improvement Network (SQUINT). SQUINT includes clinicians and administrators interested in improving VA stroke care quality and exchange strategies and best practices via monthly conference calls. Semi-structured telephone interviews were performed on 30 clinicians and administrators across twenty US VA facilities and were asked about their perceptions of the value of participating and what barriers (if any) keep them from participating. An in-depth qualitative analysis of the transcribed interviews was conducted using a consensus coding scheme. A dual approach to developing a coding scheme was employed using deductive and inductive methods. Key themes generated were the applicability and format of SQUINT calls and administrative support. These themes differed across clinicians and size of facility. This evaluation underscores the importance of tailoring health information and communication strategies to the needs of clinician type.
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Reducing the Risk of Opioid Poisoning: Evaluation of a Community-Based Approach to Changing Physicians' Management of Chronic Pain Patients
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| Presenter(s):
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| Doug Easterling, Wake Forest University, dveaster@wfubmc.edu
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| Jessica Pockey, Wake Forest University, jpockey@wfubmc.edu
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| Montez Lane, Wake Forest University, ymlane@wfubmc.edu
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| Abstract:
A community coalition in Wilkes County, North Carolina developed the Chronic Pain Initiative (CPI), a multi-pronged strategy to reduce opioid poisoning deaths. This evaluation investigated the changes in physician practice resulting from one of the CPI strategies - dissemination of a 'physician toolkit' containing various guidelines and templates to apply in assessing and managing chronic pain. The toolkit was delivered by the county medical director, who also provided education on the use of the tools as well as background on the scope of substance use problem within the county. Interviews with health care providers indicated that the intervention increased the use of Pain Agreements and the Controlled Substances Reporting System (CSRS). A review of publicly avialble health statistics showed a decline in the average number of narcotic prescriptions filled by local residents, as well as a decline in poisoning deaths concurrent with the intervention.
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Evaluation of the American Cancer Society Caregiver Kit: A Randomized Trial
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| Presenter(s):
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| Joseph Bauer, American Cancer Society, joseph.bauer@cancer.org
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| Dawn Wiatrek, American Cancer Society, dawn.wiatrek@cancer.org
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| Greta Greer, American Cancer Society, greta.greer@cancer.org
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| Abstract:
The American Cancer Society recently created a set of written materials for caregivers. Referred to as The Caregiver Kit, this resource provides information specific to cancer caregiving including topics such as communication, self care, and resources. A self-directed guided meditation CD for caregivers designed to reduce stress levels has also been included.
A randomized trial is currently underway to test the efficacy of these materials with caregivers contacting the American Cancer Society. Callers are randomized to one of three conditions: Caregiver Kit alone, Kit plus CD, and standard of care. All subjects are completing a baseline survey which includes measures of knowledge, efficacy, and frequency of engagement in key behaviors addressed in the kit and CD, as well as thoughts about Kit design. Follow-up surveys are planned for 1 and 6 months post enrollment, to measure changes in these variables. The sample size target is 100 subjects per arm.
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