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Table 4 Associations between implementation strategies and case review completion rates

From: Tracking implementation strategies in the randomized rollout of a Veterans Affairs national opioid risk management initiative

 

Unadjusted

Adjusted

Strategy number, cluster, and name

IRR (95% CI)

P value

IRR (95% CI)

P value

S5 Evaluate—develop a written implementation plan including goals and strategies

0.84 (0.68–1.04)

0.11

0.82 (0.67–1.01)

0.06

S8 Evaluate—regular monitoring and adjusting practices (as needed) for completing mandated case reviews of very high-risk patients

1.29 (1.041.62)

0.02

1.40 (1.111.77)

0.004

S11 Interactive assistance—use a centralized system, for example from the VISN, to deliver technical assistance

0.87 (0.70–1.07)

0.19

0.85 (0.69–1.04)

0.11

S14 Adapt and tailor—identify ways that the process of completing case reviews of very high-risk patients can be adapted to meet local needs while still maintaining the core components of the review process

1.29 (1.031.62)

0.03

1.28 (1.031.60)

0.03

S29 Stakeholder interrelationships—obtain formal written commitments from key local stakeholders that state what they will do to support the completion of mandated case reviews, for example, written agreements with CBOCs or between service lines

0.63 (0.40–1.00)

0.05

0.66 (0.43–1.01)

0.06

S36 Train/educate—conduct an initial training session

1.16 (0.95–1.41)

0.15

1.23 (1.021.50)

0.03

S40 Train/educate—create or participate in groups that meet regularly to discuss and share lessons learned

1.26 (1.031.52)

0.02

1.32 (1.091.59)

0.004

S45 Train/educate—train designated relevant healthcare professionals at your medical center to train others to complete mandated case reviews

1.21 (0.98–1.50)

0.07

1.22 (1.00–1.49)

0.06

  1. *Statistically significant associations are in bold