Organizational Change and Capacity Building Initiatives

CPDE works with partners leading initiatives aimed at transforming systems, enhancing organizational capacity and infrastructure to improve services and workforce capability to better meet the needs of its target population. These initiatives often involve the implementation of new, or improved processes to streamline functioning at the practice or organizational level and CPDE draws on principles of Implementation Science in designing the evaluation. Organizational Change and Capacity-Building Initiatives include:

Geriatric Workforce Enhancement Project (GWEP)

This is a three-year grant supporting the development of a rural health care workforce servicing older adults in northern New Hampshire and southern Vermont. GWEP aims to improve health outcomes among older adults through better integration of geriatrics with primary care, enhanced chronic care management between primary and specialty care, advance care planning and establishment of Advanced Directives, and increased patient and family engagement and self-efficacy in health care management. Project activities include site-level training in Quality Improvement and health care delivery for geriatric patients, and enhanced partnerships and increased referrals between primary care practices and community-based organizations and resources. GWEP Evaluation uses a crossover design and employs a comprehensive, mixed-methods approaching including semi-structured interviews with GWEP practice champions, and baseline, end-point, and one-year follow-up surveys of GWEP team members and Practice Managers. (Funder: Health Resources and Services Administration)

Partners for Change and New Hampshire Adoption Preparation and Preservation

In these two system change initiatives, the Dartmouth Trauma Interventions Research Center (DTIRC) and NH's Division for Children, Youth and Families (DCYF) collaborate to improve the well-being of children, youth and families served by the State of New Hampshire's child welfare agency. Project activities include the installation of universal statewide trauma screening and family assessments to enhance case planning and referral to trauma-informed mental health services, as well as promoting placement stability and preparation for adoption. The evaluation by CPDE uses a randomized, matched pairs, cross-over design with mixed methods conducted across two cohorts and multiple time points to assess implementation effectiveness and outcomes in children, families, workers, and system-wide. (Funder: Administration of Children and Families, Children’s Bureau, Department of Health and Human Services)

Chief Resident in Quality and Safety program at the US Department of Veterans Affairs

Beginning in 2014, CPDE has conducted a mix of program evaluation activities for the National Chief Resident in Quality & Safety program to assess content and delivery of the national curriculum and site-specific learning experiences and participant supports. The evaluation has evolved over the years to address new questions and needs, including development and testing of a rubric to rate year-end QI project presentations; a multiple case study to explore the site-specific factors important to installing, growing, and sustaining a successful CRQS program; alumni surveys; and faculty development activities. CPDE has provided additional evaluation expertise and training for several other VA education programs, including the 2-year Health Professions Education Evaluation and Research (HPEER) fellowship program, the National Quality Scholars Fellowship, the Patient Safety Fellowship, and to establish and administer a common pre/post survey of participants in all Advanced Fellowships overseen by the VA’s Office of Academic Affiliations. (Funder: U.S. Department of Veterans Affairs)