Continuous Quality Improvement in the Substance Abuse and Mental Health Services Administration's Technology Transfer Center Network: A Process Evaluation.

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  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: United States NLM ID: 7805992 Publication Model: Print Cited Medium: Internet ISSN: 1552-3918 (Electronic) Linking ISSN: 01632787 NLM ISO Abbreviation: Eval Health Prof Subsets: MEDLINE
    • Publication Information:
      Publication: Newbury Park, Ca : Sage Publications
      Original Publication: Baltimore : Empirical Publications.
    • Subject Terms:
      Quality Improvement*/organization & administration ; Technology Transfer* ; United States Substance Abuse and Mental Health Services Administration*; Humans ; United States ; Mental Health Services/organization & administration ; Mental Health Services/standards ; Total Quality Management/organization & administration ; Substance-Related Disorders/therapy
    • Abstract:
      In healthcare and related fields, there is often a gap between research and practice. Scholars have developed frameworks to support dissemination and implementation of best practices, such as the Interactive Systems Framework for Dissemination and Implementation, which shows how scientific innovations are conveyed to practitioners through tools, training, and technical assistance (TA). Underpinning those aspects of the model are evaluation and continuous quality improvement (CQI). However, a recent meta-analysis suggests that the approaches to and outcomes from CQI in healthcare vary considerably, and that more evaluative work is needed. Therefore, this paper describes an assessment of CQI processes within the Substance Abuse and Mental Health Services Administration's (SAMHSA) Technology Transfer Center (TTC) Network, a large TA/TTC system in the United States comprised of 39 distinct centers. We conducted key informant interviews ( n = 71 representing 28 centers in the Network) and three surveys (100% center response rates) focused on CQI, time/effort allocation, and Government Performance and Results Act (GPRA) measures. We used data from each of these study components to provide a robust picture of CQI within a TA/TTC system, identifying Network-specific concepts, concerns about conflation of the GPRA data with CQI, and principles that might be studied more generally.
      Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: JA, KR, RG, and SKRH have, at various times, received funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) through their workplaces to conduct public health projects. Though the overall evaluation was participatory in nature, SAMHSA did not review or exert any control over the content of this paper. Portions of this paper were submitted to SAMHSA’s leadership team in 2022 in unredacted form as part of a much larger document that comprised the final grant deliverable for TI082543, though that report will not be published or made public. None of the authors received feedback on that report that would influence this publication.
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    • Contributed Indexing:
      Keywords: SAMHSA; TTC; continuous quality improvement; evaluation; interactive systems framework; technical assistance
    • Publication Date:
      Date Created: 20240525 Date Completed: 20240525 Latest Revision: 20240609
    • Publication Date:
      20240609
    • Accession Number:
      PMC11157976
    • Accession Number:
      10.1177/01632787241234882
    • Accession Number:
      38790107