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Cleft Palate Craniofac J. 2018 Nov;55(10):1382-1390. doi: 10.1177/1055665618764952. Epub 2018 Mar 21.

Implementation of a Standardized Data-Collection System for Comprehensive Appraisal of Cleft Care.

Author information

1
1 Duke University School of Medicine, Durham, NC, USA.
2
2 Division of Plastic, Maxillofacial and Oral Surgery, Department of Surgery, Duke University Hospital, Durham, NC, USA.
3
3 Division of Otolaryngology and Communication Sciences, Department of Surgery, Duke University Hospital; Durham, NC, USA.
4
4 Duke Cleft and Craniofacial Center, Duke Children's Hospital, Durham, NC, USA.

Abstract

OBJECTIVE:

Our objective is to describe the process of adapting a conceptual framework into a practical toolkit for one cleft team.

DESIGN:

This is a single-arm implementation study in a single institution.

SETTING:

Implementation took place at a mid-sized multidisciplinary clinic for patients with cleft lip and/or palate (CL/P) from urban/suburban and rural areas across North Carolina and neighboring states.

PARTICIPANTS:

Eligible participants were patients with CL/P from English-speaking families. Sixty patients entered and finished the study.

INTERVENTIONS:

The implementation of a prospective data collection system based on the International Consortium for Health Outcomes Measurement (ICHOM) standard set of outcome measures for CL/P was accomplished in multiple stages. Patient- and clinician-reported forms and protocols for gathering data were created. Team members were trained and the system was tested; finally, the system was deployed.

MAIN OUTCOME MEASURES:

Success was appraised using the RE-AIM framework to assess reach, effectiveness, adoption, implementation, and maintenance.

RESULTS:

Ninety-eight percent of patients and all team members agreed to participate. Ninety-four percent of required data were captured. Adaptations to friction points were made; specifically, visible reminders were affixed to charts, primary clinicians were required to assume data entry responsibility, and e-mail reminders were instituted. Development cost was US$7707; average time cost per clinician was 21 min/wk.

CONCLUSIONS:

Conceptual frameworks for outcomes studies must be tailored to their environments; otherwise, they cannot be practically implemented and sustained. We present this process for a cleft team using the ICHOM standard set. The process may help other teams implement the standard set or other conceptual frameworks.

KEYWORDS:

implementation; outcomes measurement; practical

PMID:
29561717
DOI:
10.1177/1055665618764952
[Indexed for MEDLINE]

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