Putting Practice Guidelines to Work in the Department of Defense Medical System

A Guide for Action

by Will Nicholas, Donna O. Farley, Mary E. Vaiana, Shan Cretin

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Abstract

The DoD and the VA have placed a priority on the standardization of care in the military and VA health systems to achieve greater consistency, quality, and cost-effectiveness in the delivery of health care services for active duty personnel, dependents, and retirees. In this context, the Army Medical Department (AMEDD) has been working in partnership with RAND to implement DoD/VA clinical practice guidelines proactively across the Army health system. One of the key products of this AMEDD/RAND partnership is an Implementation Guide designed to assist Army medical treatment facilities (MTFs) in guideline implementation. The response to the guide was so enthusiastic within the Army that it was decided the guide should be adapted for use across the DoD. This guide draws upon current knowledge from both research and field experiences.

Table of Contents

  • Preface PDF

  • Acknowledgements

    Acknowledgments PDF

  • Chapter 1

    Introduction PDF

  • Chapter 2

    Overview of Guideline Implementation and Keys to Success PDF

  • Chapter 3

    Effective Teamwork for Guideline Implementation PDF

  • Chapter 4

    Planning for Action PDF

  • Chapter 5

    Making Change Happen PDF

  • Chapter 6

    Measuring Effects PDF

  • Appendix A

    Guideline Implementation Strategies for MTF Commanders PDF

  • Appendix B

    DoD/VA Key Guideline Elements PDF

  • Appendix C

    Planning Preparation Worksheets (Low Back Pain Example) PDF

  • Appendix D

    Action Plan Worksheets PDF

  • Appendix E

    Group Process Methods PDF

  • Appendix F

    The AMEDD Guideline Implementation Toolkits PDF

  • Appendix G

    Sample Implementation Action Plan: DoD/VA Low Back Pain Guideline PDF

  • Appendix H

    DoD/VA Guideline Metrics PDF

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