Abstract
Introduction: Despite the rapid accumulation of evidence, translating this evidence into clinical practice is slow and inefficient. A key barrier is limited understanding of implementation science (IS). As part of a regional strategy to improve the value of healthcare, the Healthcare Institute for Innovations in Quality (HI-IQ) built a curriculum and certificate program, Training in Implementation: Actionable Research Approaches (TIARA) to train researchers and providers with skills in IS. Methods: HI-IQ has built a multi-stakeholder consortium, conducted a healthcare needs assessment, and begun regional QI implementation across multiple hospitals. To support regional QI, TIARA 1.0 was developed and launched as a Certificate program from the Frontiers Clinical & Translational Science Institute (CTSI), with online recordings (www.kcqvic.org/trainings/). Results: Participants (n=120) in TIARA 1.0 came from hospitals, payers, health departments, community-based organizations, and academic institutions. Over 60% of participants reported increases in IS expertise after training. Across all IS competencies (n=8), participants increased an average of 3.7 points (Figure 1). These skills are being applied in a regional program to improving transitions in care for heart failure to not only evaluate the outcomes, but also the facilitators and barriers to implementing the evidence. Due to demand for more and expanded training opportunities in IS, both coursework and additional professional training are being developed. Conclusions : There is a significant unmet need to expand skills in IS for those working in real-world quality improvement and clinical care. HI-IQ’s training approach, utilizing online-hybrid delivery, applied content for practitioners, and real-world project-based applications are promising strategies to train practitioners in how to change healthcare and can model a strategy for other regions to consider in improving care.
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