Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities.
Jennifer PankowJennifer WillettYang YangHolly SwanRichard DemboWilliam M BurdonYvonne PattersonFrank S PearsonSteven BelenkoLinda K FrismanPublished in: The journal of behavioral health services & research (2019)
In a study aimed at improving the quality of HIV services for inmates, an organizational process improvement strategy using change teams was tested in 14 correctional facilities in 8 US states and Puerto Rico. Data to examine fidelity to the process improvement strategy consisted of quantitative ratings of the structural and process components of the strategy and qualitative notes that explicate challenges in maintaining fidelity to the strategy. Fidelity challenges included (1) lack of communication and leadership within change teams, (2) instability in team membership, and (3) issues with data utilization in decision-making to implement improvements to services delivery.
Keyphrases
- healthcare
- primary care
- antiretroviral therapy
- hiv infected
- hiv positive
- decision making
- human immunodeficiency virus
- mental health
- hepatitis c virus
- hiv aids
- big data
- systematic review
- palliative care
- quality improvement
- high resolution
- mass spectrometry
- machine learning
- artificial intelligence
- deep learning
- health insurance