RecruitingNot ApplicableNCT06593353

Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail

Sponsor

University of Washington

Enrollment

4,186 participants

Start Date

Nov 21, 2024

Study Type

INTERVENTIONAL

Conditions

Opioid-use Disorder Opioid-use Disorders

Summary

This study evaluates the effectiveness of a health systems strategy (the Systems Analysis and Improvement Approach - SAIA) that packages systems engineering tools (including cascade analysis, flow mapping, and continuous quality improvement) to optimize the management of opioid use disorder (MOUD) care cascade and improve linkages between jails and clinical referral sites. The investigators will 1. study the effectiveness of SAIA on MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics 2. explore determinants of adoption, implementation, and sustainment of SAIA-MOUD across implementation clinics, and 3. estimate the cost and cost-effectiveness of SAIA-MOUD

Eligibility

Min Age: 18 YearsMax Age: 110 Years

Inclusion Criteria13

Implementation Outcomes (consented)
Group 1:
clinic staff/providers at study clinics (JHS, OBOT, Pathways, Sound)
age 18+
Group 2:
current patients at SAIA clinic in the community (OBOT, Pathways, Sound) with jail involvement in the last 12 months
age 18+
Clinical Outcomes (de-identified data, non consented)
Group 3:
receive MOUD treatment while incarcerated in King County Jails (WA).
age 18+
on Medicaid
released to community

Exclusion Criteria4

Group 1 \& 2:
do not consent
Group 3:
not on Medicaid

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Interventions

OTHERSystems Analysis and Improvement Approach (SAIA)

SAIA an evidence-based, multi-prong, implementation strategy to improve systems thinking amongst frontline care teams to optimize care quality and continuity. The intervention includes monthly meetings where patient care cascades, process mapping and continuous quality improvement are used to identify bottlenecks and prioritize clinic based solutions.