While Collaborative Care is a proven solution to this crisis, implementing it in any medical system exposes unexpected challenges. As an implementation group shapes a Collaborative Care model to fit their local environment, there is no systematic method to determine which parts of the model can be modified or where flexibility might undermine success.
Staff at UW Health and the University of Wisconsin Health Innovation Program have developed an algorithm that can be used to improve the equity of the distribution of COVID-19 vaccinations to healthcare personnel during Phase 1a of the CDC’s vaccine distribution plan, if not enough vaccine is available to immunize an entire group of employees with similar job-related risk exposure. The COVID-19 Vaccine Prioritization Tool ranks health care personnel with similar job-related risk exposure by risk of mortality to COVID-19 according to SVI and age.
This tool is intended for healthcare administrators, policymakers, and researchers interested in equitably distributing vaccinations to healthcare personnel.
Where people live, and the health-related characteristics of their communities, has a significant impact on the health and health outcomes of residents. Differences in health care quality and outcomes for rural and urban populations has been a focus of national priority and attention.
Researchers at UW-Madison distinguished the unique health-related characteristics of rural and urban ZIP codes across Wisconsin to identify important factors (e.g. health care providers, insurance status, poverty) that contribute to health, resulting in six groups of rural and urban ZIP codes in Wisconsin: Rural Underserved, Rural, Rural Advantaged, Urban Underserved, Urban, and Urban Advantaged.
The Wisconsin Collaborative for Healthcare Quality (WCHQ), in collaboration with Health Innovation Program, developed the Wisconsin Health Disparities: Rural and Urban Populations Report to help inform and accelerate programs that are working to eliminate disparities. The 2020 report identifies where disparities in health outcomes and care exist in rural and urban areas in Wisconsin by using a unique categorization system developed by researchers at the University of Wisconsin Health Innovation Program (HIP). Funding for this report was provided by the Wisconsin Partnership Program, University of Wisconsin School of Medicine and Public Health.
About 1.45 million individuals in Wisconsin, have some mental or behavioral health issues, and the percentage of major depressive episodes for adults aged 18 and over is 6.56%. The mental health disorder treatment gap in Wisconsin is 49%, which equals roughly 441,378 individuals annually not receiving the care they need. Screening for depression within primary care as well as investing in evidence-based behavioral health delivery models in the primary care setting allows for greater health care capacity and improvements in health outcomes.
With the onset of COVID-19, primary care systems across the country are rapidly changing clinical operations to limit in-person ambulatory visits for infection-control reasons. The Primary care Academics Transforming Healthcare (PATH) collaborative quickly redesigned primary care in their institution to introduce telemedicine visits as a practical alternative to provide needed care remotely. The innovation was the rapid development and implementation of workflows to standardize billable telemedicine visits in the primary care setting.
With the release of the 2015 American Thyroid Association (ATA) Management Guidelines for Adults with Differentiated Thyroid Cancer, treatment decisions for low-risk thyroid cancer became more complicated. Although the guidelines were meant to supplement shared patient-healthcare provider decision-making, the patient-provider deliberation often fails to meet the informational standards for patients and can often exclude available treatments. Low-risk thyroid cancer patients often don’t know what questions to ask, while the physicians report not knowing how to obtain patients’ preferences and include them into treatment decisions.
Because of the COVID-19 pandemic, critically ill patients have been hospitalized and isolated from their families and loved ones. In many hospitals, the palliative care team has been charged with maintaining communication between the critical care team and their patients’ families. Dr. Gretchen Schwarze and her team along with Dr. Toby Campbell created the Best Case/Worst Case: ICU (COVID-19) communication toolkit to assist separated families and to help them develop an understanding of their loved one’s illness, prognostic awareness and the range of possible outcomes.
The NIH Clinical and Translational Science Award (CTSA) Program exists to help turn research from the lab, clinic, and community into interventions that improve the health of individuals and the public at large. The field of dissemination and implementation (D&I) has essentially the same goal. Building the D&I capacity of CTSA grantees can substantially further a CTSA’s mission.
The purpose of this toolkit is to describe some key D&I resources and activities developed by the UW-Madison CTSA to support dissemination and implementation research and activities. The authors of Developing Dissemination and Implementation Capacity within a CTSA: a Toolkit hope the practical information offered might help other CTSA programs think about and develop the D&I resources that advance their goals.