What Do Collaborative Improvement Projects Do? Experience from Seven Countries

Use of the Breakthrough Series Collaborative to Support Broad and Sustained Use of Evidence-Based Trauma Treatment for Children in Community Practice Settings

“…A review of the available literature indicated that closing this gap would require addressing organizational and system barriers to delivering evidence-based practice along with training clinicians to competently administer EBTs (e.g., Chadwick Center for Children and Families 2004;Fixsen et al 2005;Stirman et al 2004). Quality collaboratives are one methodology that has been used to facilitate change across multiple levels of a healthcare system to implement innovations in medicine and improve quality of care (e.g., Ovretveit et al 2002;Wilson et al 2003). Thus in consultation with experts in implementation science and quality improvement, in 2005 the SAMHSA funded National Child Traumatic Stress Network initiated a BSC with the goal of supporting the broad and skillful implementation of TF-CBT in communities across the United States.…”

“…Quality collaboratives are one methodology that has been used to support change across multiple levels of a hospital or other healthcare system in order to implement innovations in medicine and improve quality of care (Ovretveit et al 2002;Kilo 1999;Schouten et al 2008;Wilson et al 2003). In 1995, the Institute for Healthcare Improvement (IHI) introduced the Breakthrough Series (BSC) a quality collaborative model which brings together multidisciplinary teams from different organizations to work in a structured way with each other and recognized experts to accelerate the spread of a best practice (Institute for Healthcare Improvement 2003).…”

Primary Care Practice-Based Research Networks: Working at the Interface Between Research and Quality Improvement

“…[16][17][18][19][20] Many QI organizations are also using a method pioneered by the Institute for Healthcare Improvement called Breakthrough Series Collaboratives. [21][22][23][24][25][26][27][28][29][30][31][32] Collaboratives generally include 10 to 20 unrelated clinical practice teams working both independently and collaboratively for a period of 6 to 8 months to improve performance in a predetermined area (eg, management of patients with diabetes …”

Does the Collaborative Model Improve Care for Chronic Heart Failure?

“…Although the use of this collaborative method is widespread, 21 it has not undergone rigorous controlled evaluations. Previous evaluations have relied on data collected by the participating sites and historical controls, which are subject to potential biases.…”