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- Partner: Women’s Health Clinical Management Team
- Need: Establish walk-in contraception services across the MHS to optimize warrior readiness and pregnancy planning throughout the reproductive years.
- Knowledge Product/Practice: Defense Health Agency Administrative Instruction 6025.09 required 130 military hospitals and clinics to launch WiCS at their facilities within a three-month timeframe.
- Process: Assisted in development of compliance standards; created a standard training module, implementation guides, and communication resources; supported biweekly WiCS champion workgroup meetings.
- Results: 100% of the hospitals and clinics successfully established WiCS by the target date.
- Partner: Tri-Service Infectious Diseases Working Group
- Need: Increase in awareness of HIV pre-exposure prophylaxis among MHS providers and Active Duty Service Members at risk for HIV infection.
- Knowledge Product/Practice: PrEP is a daily pill that lowers risk of HIV infection by up to 99% when taken as prescribed.
- Process: Facilitated development of stakeholder group with wide range of experience in HIV prevention, awareness, and treatment. Developed dissemination and implementation materials, including provider-facing trainings, toolkits, and reference guides, and patient-facing infographics.
- Results: The HIV PrEP stakeholder group continues to execute communications and implementation plans with a goal of increasing the PrEP prescription rate in the MHS by 25% by 2025.
- Partner: Primary Care Clinical Community
- Need: Increase in awareness of new colorectal cancer screening guidelines for the 200,000 additional beneficiaries now eligible for screening.
- Knowledge Product/Practice: The Fecal Immunochemical Test is a non-invasive, stool-based at-home test to screen for colorectal cancer in those at average risk.
- Process: Developed and executed communications campaign, created Patient Toolkit, and designed provider resources.
- Results: Increased colorectal cancer awareness efforts to reduce performance gap resulting from COVID-19 pandemic on preventive wellness screenings.
- Partner: Neuromusculoskeletal Clinical Community/Rehabilitation Clinical Management Team/Enterprise Solutions
- Need: A standardized process to implement Direct Access to Physical Therapy across the MHS to decrease burden on primary care and improve outcomes for patients with acute NMSK injuries.
- Knowledge Product/Practice: DAPT is the ability to obtain physical therapy evaluation and treatment without a referral from a physician or other provider after screening criteria are met.
- Process: Collaborated with a team of physical therapists at Madigan Army Medical Center who developed a DAPT procedure selected as the winner of the 2020-2021 Clinical Quality Improvement Leading Practices Program. Developed a standardized appointing algorithm, provided coding solutions, and gathered extensive stakeholder group to spread and scale DAPT.
- Results: DAPT was successfully piloted in the Puget Sound Market in 2022 and is now being implemented across the MHS through a phased approach.
- Partner: Women and Infant Clinical Community/Women's Health Clinical Management Team
- Need: A standardized process for identification and treatment of PPH.
- Knowledge Product/Practice: A Defense Health Agency Procedural Instruction standardized a clinical framework for PPH prevention and treatment and served as the basis for the PPH Bundle Campaign.
- Process: Supported implementation of the DHA-PI at 12 military hospitals and clinics through the identification of local champions, hosting of peer-to-peer workgroups, development of educational materials, and tracking of compliance data.
- Results: Campaign exceeded its target compliance rate of 80% by achieving 97% compliance overall. The bundle was then implemented across all 42 military hospitals and clinics with inpatient obstetrics services; as of January 2023, the MHS-wide average compliance rate was 93%.
- Partner: Defense and Veterans Center for Integrative Pain Management
- Need: Increase co-prescriptions of naloxone to improve patient safety.
- Knowledge Product/Practice: Provide OEND training via sustainable, scalable model.
- Process: Refined VA OEND training for MHS population; drafted key messaging for dissemination campaign; provided OEND training to interdisciplinary group at pilot site; embedded training in TeleECHO and annual pharmacy trainings; and utilized train-the-trainer model of implementation.
- Results: 11% increase in naloxone co-prescriptions at pilot site following training implementation.
- Partner: Joint Trauma System
- Need: Standardized, systematic methodology for collating clinical recommendations across clinical practice guidelines.
- Knowledge Product/Practice: Standardize subcategories of clinical recommendations to highlight the most important guidance.
- Process: Developed strategies for efficient implementation of CPGs, including a CPG deconstruction tool and a summary of CPG updates; conducted successful dissemination campaigns of Damage Control Resuscitation and COVID-19 CPGs through infographics and pocket guides.
- Results: Improved translation of research recommendations into condensed, actionable formats to ease clinical applications across the MHS.
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Fact Sheet
Jun 30, 2023
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756.13 KB
Describes the Implementation Science Branch mission to transition mature, prioritized, evidence-based research into practice to optimize impact, includes a graphic of phases and key activities, and provides examples of the branch’s work.
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Last Updated: August 10, 2023