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  4. Improving practice through collaboration: Early experiences from the multi-site Spinal Cord Injury Implementation and Evaluation Quality Care Consortium

Improving practice through collaboration: Early experiences from the multi-site Spinal Cord Injury Implementation and Evaluation Quality Care Consortium

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2021.1936946 · Published: June 17, 2021

Spinal Cord InjuryHealthcare

Simple Explanation

The Spinal Cord Injury Implementation and Evaluation Quality Care Consortium (SCI IEQCC) was created to improve care for people with spinal cord injuries by bringing together clinicians and administrators. The consortium focuses on putting best practices into action by educating clinicians, providing resources, sharing ideas, and tracking data. The SCI IEQCC consists of five tertiary SCI/D rehabilitation care organizations in partnership with two non-government organizations specializing in SCI/D.

Study Duration
18 months
Participants
Clinicians and leaders from five tertiary SCI/D rehabilitation centers and two not-for-profit SCI/D advocacy groups
Evidence Level
Not specified

Key Findings

  • 1
    The network members collaborated to implement best practices within six priority domains: emotional wellbeing, sexual health, walking, and wheeled mobility.
  • 2
    Significant progress was made in emotional wellbeing, sexual health, walking, and wheeled mobility despite disruptions due to the COVID-19 pandemic.
  • 3
    A QIC targeting SCI/D rehabilitation demonstrates promise for advancing the implementation of best practices, building implementation science capacity across multiple sites.

Research Summary

The Spinal Cord Injury Implementation and Evaluation Quality Care Consortium (SCI IEQCC) was established to improve the quality and equity of spinal cord injury rehabilitation care in Ontario, Canada. The consortium brought together clinicians and leaders from five tertiary SCI/D rehabilitation centers and two not-for-profit SCI/D advocacy groups. Significant progress has been made in emotional wellbeing, sexual health, walking, and wheeled mobility in 18 months, despite disruptions due to the COVID-19 pandemic.

Practical Implications

Improved Healthcare Delivery

The QIC approach can accelerate the translation of evidence-based best practices into everyday clinical practice.

Capacity Building

The initiative builds implementation science capacity across multiple SCI/D rehabilitation sites.

Enhanced Collaboration

The consortium promotes collaboration among SCI/D clinician experts, rehabilitation centers, and organizational partners.

Study Limitations

  • 1
    The SCI IEQCC’s future depends on ongoing availability of funding to support ground-level, frontline implementation science leadership and the related data collection and evaluation.
  • 2
    Most of the initial six key domains addressed by this QIC are unlikely to yield cost savings adequate to support self-sufficiency at this early stage of implementation.
  • 3
    Data analysis has yet to occur in many of the priority domains to quantify demonstrable benefits.

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