Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center
BackgroundA large and growing percentage of medically underserved groups receive care at federally qualified health centers (FQHCs). Care coordination is an evidence-based approach to address disparities in healthcare services. A partnered FQHC established a care coordination model to improve receip...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.844898/full |
| _version_ | 1819174475628806144 |
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| author | Kelsey S. Dickson Kelsey S. Dickson Tana Holt Tana Holt Elva Arredondo Elva Arredondo |
| author_facet | Kelsey S. Dickson Kelsey S. Dickson Tana Holt Tana Holt Elva Arredondo Elva Arredondo |
| author_sort | Kelsey S. Dickson |
| collection | DOAJ |
| description | BackgroundA large and growing percentage of medically underserved groups receive care at federally qualified health centers (FQHCs). Care coordination is an evidence-based approach to address disparities in healthcare services. A partnered FQHC established a care coordination model to improve receipt and quality of healthcare for patients most at risk for poor health outcomes. This care coordination model emphasizes identification and support of behavioral health needs (e.g., depression, anxiety) and two evidence-based behavioral health programs needs were selected for implementation within the context of this care coordination model. Implementation Mapping is a systematic process for specifying the implementation strategies and outcomes. The current case study describes the application of Implementation Mapping to inform the selection and testing of implementation strategies to improve implementation of two behavioral health programs in a Care Coordination Program at a partnered FQHC.MethodsWe applied Implementation Mapping to inform the development, selection and testing of implementation strategies to improve the implementation of two evidence-based behavioral health programs within a care coordination program at a partnered FQHC.ResultsResults are presented by Implementation Mapping task, from Task 1 through Task 5. We also describe the integration of additional implementation frameworks (The Consolidated Framework for Implementation Research, Health Equity Implementation Framework) within the Implementation Mapping process to inform determinant identification, performance and change objectives development, design and tailoring of implementation strategies and protocols, and resulting evaluation of implementation outcomes.ConclusionsThe current project is an example of real-world application of Implementation Mapping methodology to improve care outcomes for a high priority population that is generalizable to other settings utilizing similar care models and health equity endeavors. Such case studies are critical to advance our understanding and application of innovative implementation science methods such as Implementation Mapping. |
| first_indexed | 2024-12-22T20:39:34Z |
| format | Article |
| id | doaj.art-07d3c67bceb242899bb3f83dbbc1504f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-22T20:39:34Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-07d3c67bceb242899bb3f83dbbc1504f2022-12-21T18:13:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-03-011010.3389/fpubh.2022.844898844898Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health CenterKelsey S. Dickson0Kelsey S. Dickson1Tana Holt2Tana Holt3Elva Arredondo4Elva Arredondo5Department of Child and Family Development, San Diego State University, San Diego, CA, United StatesChild and Adolescent Services Research Center, San Diego, CA, United StatesDepartment of Child and Family Development, San Diego State University, San Diego, CA, United StatesSan Diego State University Research Foundation, San Diego State University, San Diego, CA, United StatesDepartment of Psychology, San Diego State University, San Diego, CA, United StatesInstitute for Behavioral and Community Health, San Diego State University, San Diego, CA, United StatesBackgroundA large and growing percentage of medically underserved groups receive care at federally qualified health centers (FQHCs). Care coordination is an evidence-based approach to address disparities in healthcare services. A partnered FQHC established a care coordination model to improve receipt and quality of healthcare for patients most at risk for poor health outcomes. This care coordination model emphasizes identification and support of behavioral health needs (e.g., depression, anxiety) and two evidence-based behavioral health programs needs were selected for implementation within the context of this care coordination model. Implementation Mapping is a systematic process for specifying the implementation strategies and outcomes. The current case study describes the application of Implementation Mapping to inform the selection and testing of implementation strategies to improve implementation of two behavioral health programs in a Care Coordination Program at a partnered FQHC.MethodsWe applied Implementation Mapping to inform the development, selection and testing of implementation strategies to improve the implementation of two evidence-based behavioral health programs within a care coordination program at a partnered FQHC.ResultsResults are presented by Implementation Mapping task, from Task 1 through Task 5. We also describe the integration of additional implementation frameworks (The Consolidated Framework for Implementation Research, Health Equity Implementation Framework) within the Implementation Mapping process to inform determinant identification, performance and change objectives development, design and tailoring of implementation strategies and protocols, and resulting evaluation of implementation outcomes.ConclusionsThe current project is an example of real-world application of Implementation Mapping methodology to improve care outcomes for a high priority population that is generalizable to other settings utilizing similar care models and health equity endeavors. Such case studies are critical to advance our understanding and application of innovative implementation science methods such as Implementation Mapping.https://www.frontiersin.org/articles/10.3389/fpubh.2022.844898/fullImplementation Mappingcare coordinationfederally qualified health centerevidence-based practiceimplementation strategy |
| spellingShingle | Kelsey S. Dickson Kelsey S. Dickson Tana Holt Tana Holt Elva Arredondo Elva Arredondo Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center Frontiers in Public Health Implementation Mapping care coordination federally qualified health center evidence-based practice implementation strategy |
| title | Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center |
| title_full | Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center |
| title_fullStr | Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center |
| title_full_unstemmed | Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center |
| title_short | Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center |
| title_sort | applying implementation mapping to expand a care coordination program at a federally qualified health center |
| topic | Implementation Mapping care coordination federally qualified health center evidence-based practice implementation strategy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.844898/full |
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