Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information The investigators will then assess the Maintenance/sustainment and spread of both EBPs in primary care across 3 VISNs after the active 18-month implementation period (Aim 3). The investigators will use the Practical, Robust Implementation and Sustainability Model (PRISM) framework to compare and evaluate Reach, Effectiveness, Adoption, Implementation, and costs. The primary outcome is proportion of eligible high-risk patients that receive each EBP. The investigators will conduct a mixed methods type 3 hybrid effectiveness-implementation design to test the effectiveness of EBQI-IC and EBQI-LC versus usual care (national tool dissemination and training efforts) in at least 14 sites in 2 VISNs using a Concurrent Stepped Wedge design (Aim 2). ![]() Implementing these practices in primary care has the potential to improve quality of care for the large majority of high-risk Veterans. However, both EBPs have had low uptake in primary care. Both comprehensive assessments and health coaching have demonstrated efficacy in randomized, controlled trials and have been implemented by two of the national partners in geriatrics and Whole Health teams. HCMA addresses common challenges to medication adherence using a patient-centered approach through virtual encounters. CACP is based on the Comprehensive Geriatric Assessment and guides teams in systematically addressing patients' cognitive, functional, and social needs through a comprehensive care plan. These EPBs are 1) Comprehensive Assessment and Care Planning (CACP), and 2) Phone-Based Health Coaching for Medication Adherence (HCMA). The investigators will test 2 implementation strategies to evaluate their impact on the uptake of two separate EBPs. The overall impact goal of the high-RIsk VETerans (RIVET) QUERI Program is to improve VHA primary care capacity to provide comprehensive, evidence-based care for complex, high-risk Veterans. The most effective implementation strategies to achieve evidence-based care for high-risk patients, however, are unknown. Some evidence indicates that usual implementation strategies, such as dissemination of toolkits and training are not effective for improving uptake of EBPs. Few PACTs, however, have implemented evidence-based practices (EBPs) known to address the most common issues among high-risk Veterans. In the VHA, most (88%) high-risk patients are managed by general primary care teams (i.e., Patient-Aligned Care Teams PACTs). The top 5% of Veterans at the highest risk for hospitalizations account for almost 50% of VHA healthcare costs, have significant multimorbidity, and are also at high risk for poor health outcomes. Why Should I Register and Submit Results?.
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