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  1. Replication of Clinical Innovations in Multiple Medical Practices.

    Article - En anglais

    Bakground : Many clinical innovations had been successfully developed and piloted in invidual medical practice units of Kaiser Permanente in North Carolina during 1995 and 1996.

    Difficulty in replicating these clinical innovations consistently throughout all 21 medical practice units led to development of the interdisciplinary Clinical Innovation Implementation Team, which was formed by using existing resources from various departments across the region.

    Replication model : Based on a model of transfer of best practices, the implementation team developed a process and tools (master schedule and activity matrix) to quickly replicate successfull pilot projects throughout all medical practice units.

    The process involved the following steps :

    • identifying a practice and delineating its characteristics and measures (source identification) ;

    • identifying a team to receive the (new) practice ;

    • piloting the practice ;

    • and standardizing, including the incorporation of learnings.

    The model includes the following components for each innovation : sending and receiving teams, an innovation coordinator role, an innovation expert role, a location expert role, a master schedule, and a project activity matrix.

    Communication depended on a partnership among the location experts (local knowledge and credibility), the innovation coordinator (process expertise), the innovation experts (content expertise). (...)

    Mots-clés Pascal : Innovation, Médecine, Recherche scientifique, Médecin, Pratique professionnelle, Protection sociale, Diabète, Maladie, Grippe, Virose, Infection, Méthodologie, Système santé, Endocrinopathie

    Mots-clés Pascal anglais : Innovation, Medicine, Scientific research, Physician, Professional practice, Welfare aids, Diabetes mellitus, Disease, Influenza, Viral disease, Infection, Methodology, Health system, Endocrinopathy

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 19/02/1999.