Dissemination, Implementation, and Improvement

In the FOA PAR-10-040, 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.

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

DII 2018 Program Booklet: includes agenda and abstracts

Click here to see the complete booklet.

DII 2017 Program Booklet: includes agenda and abstracts

Click here to see the complete booklet. You can also click here to see just the agenda.

See below for slides and videos for each available 2017 presentation. See at right for CTSI's full library of available DII Symposium recordings. 

Featured Presentations

Welcome Remarks  
Click here for the video - the video holds more than one presentation.  
Speakers: 
Steven Dubinett, MD, UCLA 
Thomas Buchanan, MD, USC            
Hal Yee, MD, PhD, Los Angeles County Department of Health Services 
Tony Kuo, MD, MSHS, Los Angeles County Department of Public Health
Brian Mittman, PhD, Kaiser Permanente Southern California

Featured Presentations     

Optimizing Care in the Safety Net: Implementation and Evaluation of a Large-Scale Teleretinal Diabetic Retinopathy Screening Program in the Los Angeles County Department of Health Services
Click here for the video - the video holds more than one presentation.
Speaker: Lauren Daskivich, MD, MSHS, Los Angeles County Department of Health Services

Identifying, Addressing, and Understanding Social Determinants of Health: A Kaiser Permanente Health System Perspective
Click here for the video - the video holds more than one presentation.  
Speaker: Adam Sharp, MD, MS & Artair Rogers, MHA, Kaiser Permanente Southern California      

Be There San Diego: Improving Cardiovascular Disease Prevention through a Regional Quality Collaborative
Click here for the video - the video holds more than one presentation.
Speaker: Christine Thorne, MD, MPH, UC San Diego

Addressing Obesity in individuals with Serious Mental Illness
Click here for the video - the video holds more than one presentation.  
Speaker: Amy Cohen, PhD, VA Greater Los Angeles HealthCare System

Additional Presentations

Becoming the Best at Getting Better
Click here for the video. There are no slides available for this portion. This was one of multiple strategy sessions; the other sessions do not have available recordings.

Results of Strategy Sessions and Closing Remarks
Click here to see the video. There are no slides available for this portion.

DII 2015 Program Booklet: includes agenda and abstracts

Booklet

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

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

Agenda
Program Booklet
Abstracts

National Perspective on the Importance of Dissemination, Implementation and Improvement Science
Speaker: Ann Bonham, PhD

Network Interventions
Speaker: Thomas Valente, PhD

Community-Partnered Participatory Implementation Research
Speaker: Kenneth Wells, MD, MPH

Using Partnered Research to Accelerate Implementation of Comprehensive Care for Women Veterans
Speaker: Elizabeth Yano, PhD, MSPH

Dissemination and Implementation Research: Harnessing DII to Achieve PCORI's Mission
Speaker: Jean Slutsky, PA, MSHS

DII Science and the Improvement of the Public's Health
Speaker: Jeffrey Gunzenhauser, MD, MPH

Challenges and Frontiers in Public Health and Prevention: The Role of Science in Real World Practice
Speaker: Tony Kuo, MD, MSHS

2018 Webinars

2017 Webinars

2016 Webinars

2015 Webinars

See below for the 2015 presentations. 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 Webinars

See below for the 2014 presentations. 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

• NIH Office of Behavior and Social Sciences Research (OBBSR) Funding Opportunities for D&I
  https://obssr.od.nih.gov/research-support/funding-announcements/
• Agency for Healthcare Research and Quality (AHRQ) Funding Opportunities
  https://www.ahrq.gov/funding/fund-opps/index.html
• VA Quality Enhancement Research Initiative (QUERI)
  http://www.queri.research.va.gov/default.cfm

Excerpts from proposals listed below are available upon request. Please email cerp@mednet.ucla.edu. 

• Variations in Care: Comparing Heart Failure Care Transition Intervention Effects (PI: Michael Ong)
  http://newsroom.ucla.edu/portal/ucla/ucla-led-consortium-receives-9-172734.aspx
• Implementing Eban II: An Evidence-Based Intervention for Sero-Discordant Couples (PI: Gail Wyatt)
  http://grantome.com/grant/NIH/R01-MH093230-05 
• SUCCEED Trial of Secondary Stroke Prevention (Towfighi, MD, Vickrey, MD, MPH)
  http://newsroom.ucla.edu/portal/ucla/ucla-researchers-awarded-11-million-245700.aspx
• Alzheimer's Disease Coordinated Care for San Diego Seniors (Vickrey, MD, MPH)
  http://www.ncbi.nlm.nih.gov/pubmed/17116916
• Long-Term Outcomes of Community Engagement to Address Depression Outcomes Disparities (Kenneth Brooks Wells, MD, MPH)
  https://www.pcori.org/research-results/2012/long-term-outcomes-community-engagement-address-depression-outcomes 
• Implementation Strategy for Delivering a School-based Mental Health Program (PI: Sheryl Kataoka, R21 MH082712)
  http://grantome.com/grant/NIH/R21-MH082712-02
• Worth the Walk (PI: Catherine Sarkisian, MD)
  http://newsroom.ucla.edu/portal/ucla/ucla-researchers-awarded-11-million-245700.aspx

• Dissemination and Implementation Research in Health (Edited by Ross C. Brownson, Graham A. Colditz, and Enola K. Proctor)
  https://global.oup.com/academic/product/dissemination-and-implementation-research-in-health-9780190683214?cc=us&lang=en&
• Improving Patient Care: Implementation of Change in Health Care, 2nd Edition (Edited by Richard Grol, Michel Wensing, Martin Eccles, David Davis)
  http://www.wiley.com/WileyCDA/WileyTitle/productCd-0470673389.html
• Knowledge Translation in Health Care Moving from Evidence to Practice (Edited by Sharon Straus, Jacqueline Tetroe, Ian D. Graham)
  http://www.wiley.com/WileyCDA/WileyTitle/productCd-1405181060.html

• VA Cyberseminars
  http://www.hsrd.research.va.gov/cyberseminars/catalog-archive.cfm#.Udx18PnvuiE
• National Cancer Institute Webinar Series on Advanced Topics for Implementation Science Research
  https://cyberseminar.cancercontrolplanet.org/implementationscience/default.aspx
• Knowledge Translation Canada Seminar Series
  http://ktclearinghouse.ca/ktcanada/education/seminarseries

• Seattle Implementation Research Collaborative (SIRC) Instrument Review Project
  https://societyforimplementationresearchcollaboration.org/sirc-instrument-project/
• NIH Grid Enabled Measures Database
  https://cancercontrol.cancer.gov/brp/research/gem.html

• Implementation Science
  http://www.implementationscience.com/
• Translational Behavior Medicine
  http://www.springer.com/medicine/journal/13142

Special issues

• Journal of General Internal Medicine Special Implementation Special Issue (March 2006)
  http://onlinelibrary.wiley.com/doi/10.1111/jgi.2006.21.issue-S2/issuetoc
• BMJ Quality and Safety
  http://qualitysafety.bmj.com/
• International Journal for Quality in Healthcare
  http://intqhc.oxfordjournals.org/
• American Journal of Medical Quality
  http://ajm.sagepub.com/

• University of California, San Francisco (UCSF) Implementation Program
  http://accelerate.ucsf.edu/training/ids
• Washington University in St. Louis Dissemination & Implementation Research Core
  https://icts.wustl.edu/icts-researchers/icts-cores/find-services/by-core-name/dissemination-implementation-research-core
• University of North Carolina CTSI Dissemination and Implementation Portal
  http://impsci.tracs.unc.edu/
• University of Colorado Denver, Center for Research in Implementation Science and Prevention (CRISP)
  http://www.ucdenver.edu/academics/colleges/medicalschool/programs/crisp/Pages/default.aspx
• VA Quality Enhancement Research Initiative (QUERI)
  http://www.queri.research.va.gov/default.cfm
• National Cancer Institute Implementation Science
  http://cancercontrol.cancer.gov/is/
• Cancer Research Network Communication & Dissemination Scientific Working Group
  https://sites.google.com/site/crnhealthliteracy/about-us/cdswg