Title |
Rapid spread of complex change: a case study in inpatient palliative care
|
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Published in |
BMC Health Services Research, December 2009
|
DOI | 10.1186/1472-6963-9-245 |
Pubmed ID | |
Authors |
Richard Della Penna, Helene Martel, Esther B Neuwirth, Jennifer Rice, Marta I Filipski, Jennifer Green, Jim Bellows |
Abstract |
Based on positive findings from a randomized controlled trial, Kaiser Permanente's national executive leadership group set an expectation that all Kaiser Permanente and partner hospitals would implement a consultative model of interdisciplinary, inpatient-based palliative care (IPC). Within one year, the number of IPC consultations program-wide increased almost tenfold from baseline, and the number of teams nearly doubled. We report here results from a qualitative evaluation of the IPC initiative after a year of implementation; our purpose was to understand factors supporting or impeding the rapid and consistent spread of a complex program. |
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