Implementing and sustaining evidence-based practice in health care: The Bridge Model experience |
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| Authors: | Xiaoling Xiang Sheria G Robinson-Lane Walter Rosenberg Renae Alvarez |
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| Institution: | 1. School of Social Work, University of Michigan, Ann Arbor, MI, USA;2. School of Nursing, University of Michigan, Ann Arbor, MI, USA;3. Social Work and Community Health, Rush University Medical Center, Chicago, IL, USA;4. Center for Long Term Care Reform, Health &5. Medicine Policy Research Group, Chicago, IL, USA |
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| Abstract: | This qualitative study analyzed the experience of community-based organizations (CBOs) implementing and sustaining the Bridge Model of Transitional Care, a social work-based health service intervention for reducing hospital readmissions. We conducted semi-structured interviews with clinical supervisors from 13 CBOs that received Bridge Model training between 2012 and 2015. CBOs faced significant challenges implementing and sustaining transitional care programs, particularly related to building effective and sustainable partnerships with hospitals. Additional barriers to program implementation and sustainability included financial barriers and staff turnover. Facilitators to implementation and sustainability included organizational champions, organizational culture, and value of evidence. Recommendations for CBOs to implement health service interventions include gaining early buy-in from hospital partners, creating a contractual arrangement with the hospital partner, understanding changes in health-care payment models, diversifying funding sources, developing an evaluation plan, and nurturing organizational champions. |
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| Keywords: | Transitional care implementation hospital–community partnership |
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