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American Journal of Medical Quality, Vol. 22, No. 3, 148-163 (2007)
DOI: 10.1177/1062860607300363

An Evidence-Based Template for Implementation of Multidisciplinary Evidence-Based Practices in a Tertiary Hospital Setting

Mark R. Kresse, PT, FACHE

Saint Vincent Health Center, 232 West 25th Street, Erie, PA 16544, mkresse{at}svhs.org

Maria A. Kuklinski, RN, MSN

Joseph G. Cacchione, MD, FACC

Saint Vincent Health Center, Erie, Pennsylvania

Public demand for higher quality and lower cost, evolving pay-for-performance initiatives from payors, and the growing volume of quality "report cards" are driving health care organizations to develop evidence-based practice (EBP) guidelines. Hospitals will be expected to provide the infrastructure and resources needed to support these care processes. Published best practices for implementing EBPs are rooted in organizational and behavioral change theories. Some provide a framework for implementation but lack specific steps to be followed. Others provide process detail, but their focus is too narrow to address the breadth of interdisciplinary care for defined populations. The Saint Vincent Guide for Evidence-Based Practice Implementation is a 4-phase, "fill-in-the-blank" template, road map, and time line for creating interdisciplinary, diagnosis-specific, evidence-based practices to "hard wire" the care delivery process. It is a result of our experiences with and a literature review of EBP implementation best practices that, taken together, substantiate the steps prescribed by the Guide. (Am J Med Qual 2007;22:148-163)

Key Words: evidence-based practice • pay-for-performance • guideline adherence • care delivery process • outcome and process assessment • practice guidelines


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