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Community Engagement

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Dissemination, Implementation, and Improvement

Despite the demonstrable benefits of many new medical discoveries, there has been a gap in translating research breakthroughs into practice.

Dissemination and implementation science can solve the complex challenge of bringing health innovations to practice through the development of evidence-based strategies that facilitate quality improvement, organizational change within health systems, and policy implementation

Definition

In a recent FOA, the National Institutes of Health provided the following definitions of dissemination and implementation.

  • Dissemination is the targeted distribution of information and intervention materials to a specific public health or clinical practice audience. The intent is to spread and sustain knowledge and the associated evidence-based interventions.
  • Implementation is the use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settings.

The Improvement Science Research Network states that the “overriding goal of improvement science is to ensure that quality improvement efforts are based as much on evidence as the best practices they seek to implement.”1 Simply put, “strategies for implementing evidence-based quality improvement need an evidence base of their own.”2

1Shojania KG, Grimshaw JM. Evidence-Based quality improvement: the state of the science. Health Aff (Millwood) 2005; 24(1): 138-50.
22 Improvement Science Research Network. What is Improvement Science? Available at http://www.isrn.net/about/improvement_science.asp. Accessed August 14, 2013.

Goals & Vision

The UCLA CTSI Dissemination, Implementation and Improvement (DII) Science Initiative has three main goals.
  • Expand UCLA’s competitiveness for DII funding and publication opportunities
  • Position UCLA CTSI for future renewal
  • Enhance societal impact and benefits of UCLA research and improve health care quality, health behaviors and health outcomes in Los Angeles County and beyond
The DII vision is to ensure that:
  • Results of clinical studies are put into practice in Southern California to benefit diverse populations
  • Local providers take part in studies of how to implement, spread and scale findings and innovations
  • Research, implementation and dissemination occur seamlessly by design
  • Delivery systems can work with researchers to develop system solutions
  • Researchers can find delivery systems and/or provider networks with which to partner on implementation-oriented funding proposals and studies

Presentations & Reports

UCLA CTSI Dissemination, Implementation and Improvement (DII) Initiative Launch, October 25, 2013

Conferences

Training

2015 Agenda, Program Booklet and Abstracts

DII 2015 Program Booklet: includes agenda and abstracts

Booklet

2015 Presentations


Watch all the DII Symposium videos



The 2015 symposium videos are available at right and immediately below is the ordered list of the recorded speakers and presentations. All other symposium presentations are available as slides/PDF below.

DII 2015 Symposium Videos

DII Science Vision at LAC DHS
Speakers: Dr. Mitchell Katz, MD, Director, LA County Department of Health Services

DII Science Partnered-Research and Mental Health
Panel: John S Brekke, PhD, Laura Pancake, LCSW, Aubyn Stahmer, PhD, Karen Searcy, MA, Tumaini Coker, MD, MBA, and Christine Park, MD, MPH
            
DII Science: Practical Approaches to Community-Partnered Research
Speaker: Keith Norris, MD, PhD and Ellen Olshansky, PhD, RN

DII Science and Health System Leadership
Speaker: Alfredo Aguilar, LCSW, Martin Serota, MD, and Michael Gould, MD, MS

DII Science: Partnered-Research and Community Health Improvement
Speaker: Michael Hochman, MD, MPH, Steve Chen, PharmD, Katrina Kubicek, PhD, Marisela Robles, MS, Roberto Vargas, MD, MPH, and Donzella Lee, MPH


HS Leadership

Health System Leadership and Improvement Research at KPSC: Care Improvement Research Team (CIRT)
Speaker: Michael K. Gould, MD, MS

San Diego County Behavioral Health Services (BHS) Research and Community Collaboration
Speaker: Alfredo Aguirre


Skill Building & Meet the Expert

Comprehensive Implementation Strategies: Implementing and Sustaining Evidence-Based Practice Use with Success
Speaker: Amy Drahota, Ph.D.

Leadership and Organizational Strategies for Implementation in Health
Speaker: Gregory A. Aarons, Ph.D.

Networks
Speaker: Thomas W. Valente, Ph.D.

New Developments in the Use of Mixed Methods in Implementation Research
Speaker:Lawrence A. Palinkas, Ph.D.

Practical Approaches to Community-Partnered Dissemination, Implementation and Improvement Research
Speaker: Ellen Olshansky

Applying Implementation Science to Improve Care
Speaker: Brian S, Mittman, Ph.D.

Models of University Infrastructure for Dissemination and Implementation Research
Speaker: Sue Lindsay, Ph.D., MPH


Partnered-Research Case Studies

Telehealth Collaborative Care: A Partnered-Research Case Study
Speakers: Tumaini R. Coker, MD, MBA and Christine Park, MD, MPH

USC/AltaMed CMMI Healthcare Innovation Award Program: Integrating Clinical Pharmacy Services in Safety-Net Clinics
Speakers: Michael Hochman and Steve Chen

Building a Research-Community Collaborative to Improve Community Care for Infants and Toddlers At-Risk for Autism
Speakers: Karyn Searcy, Aubyn C. Stahmer, Lauren Brookman-Frazee, and Sarah Rieth

Promotoras Improve Heart Health in Rural and Urban Settings
Speakers: Katrina Kubicek, MA Ph.Dc

2014 Agenda, Program Booklet & Abstracts

Southern California Regional Dissemination, Implementation & Improvement Science Symposium
March 2014

Agenda
Program Booklet
Abstracts

2014 Presentations

2016 DII Webinars

2016 Webinars


Watch all the DII Webinar videos



See below for slides and videos for each 2016 presentation. See at right for CTSI's full library of available DII webinar recordings.

February 3, 2016
Faster Improvement with Adaptive Implementation Research
For the video, click here.

Speaker: John Ovretveit

April 6, 2016
Improving Healthcare Quality and Safety while Reducing Costs through Clinical Pharmacy Service Integration
For the video, click here.

Speakers: Steven Chen, Michael Hochman

May 4, 2016
The Use of Agent-based Modeling for Evaluating Community-Level Obesity Interventions
No video available. 
Speaker: May Wang

June 1, 2016

Measuring Sustainment of Multiple EBPs Fiscally Mandated in Children's Mental Health Services: Knowledge Exchange on Evidence-based Practice Sustainment (4KEEPS) Study 
For the video, click here.

Speaker: Lauren Brookman-Frazee

September 8, 2016 
UCSF CTSI Implementation Science Training and Support: Activities and Impacts 
For the video, click here
Speaker: Margaret Handley  

2015 DII Webinars

2015 Webinars


Watch all the DII Webinar videos



See below for slides and videos for each 2015 presentation. See at right for CTSI's full library of available DII webinar recordings.

February 4, 2015        
The Long Road from Discovery to Improved Population Health
For the video, click here
Speaker: Sue Lindsay

June 3, 2015        
Dissemination and Implementation of Evidence-based Prevention Programs in Schools and Other Community Settings
For the video, click here.  
Speaker: Luanne Rohrbach

August 5, 2015        
Evaluating the Care Connections Program, A Community Health Worker-integrated, Primary Care-embedded, Care Management Program for Los Angeles County’s Sickest, Most Vulnerable Populations
For the video, click here.  
Speaker: Clemens Hong

October 7, 2015 
Social Networks & Health
For the video, click here
Speaker: Thomas Valente  

December 2, 2015  
Non-physician prescribing as a quality improvement strategy: patient, professional, institutional and regulatory considerations 
For the video, click here.  
Speaker: Nicola Carey  

2014 DII Webinars

2014 Webinars


Watch all the DII Webinar videos



See below for slides and videos for each 2014 presentation. See at right for CTSI's full library of available DII webinar recordings.

June 4, 2014        
Multi-agency partnerships to improve HIV care among the homeless in Los Angeles: An innovative federal, county and city collaboration
For the video, click here
Speaker: Henry Anaya

August 6, 2014 
Thoughts about the Implementation of an Evidence-Based Approach to Collaborative Care in Patients with Depression and Cardiovascular Disease
For the video, click here.  
Speaker: Karen Coleman    

December 3, 2014 
Mixed Methods in Implementation Research
For the video, click here.   
Speaker: Larry Palinkas

Funding Opportunities

Sample Grants

Excerpts from proposals listed below are available upon request. Please email Ms. Brittney Lee bnlee@mednet.ucla.edu

Books

Webinar Series

Methods and Standard Measures

Dissemination and Implementation Journals

Special issues

Non-UCLA Dissemination and Implementation Programs

For questions, contact Ibrahima Sankare, isankare@mednet.ucla.edu