Journal of General Internal Medicine

, Volume 25, Supplement 1, pp 38–43

Developing and Sustaining Quality Improvement Partnerships in the VA: The Colorectal Cancer Care Collaborative

  • George L. Jackson
  • Adam A. Powell
  • Diana L. Ordin
  • James E. Schlosser
  • Jeffery Murawsky
  • Janis Hersh
  • George Ponte
  • Leah L. Zullig
  • Fabiane Erb
  • Renee Parlier
  • David A. Haggstrom
  • Nancy Koets
  • Peter D. Mills
  • Joseph Francis
  • Michael J. Kelley
  • Michael L. Davies
  • Dawn Provenzale
  • for the VA Colorectal Cancer Care Planning Committee Members
Original Article

DOI: 10.1007/s11606-009-1155-x

Cite this article as:
Jackson, G.L., Powell, A.A., Ordin, D.L. et al. J GEN INTERN MED (2010) 25(Suppl 1): 38. doi:10.1007/s11606-009-1155-x

Abstract

Objective

The Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) seeks to develop partnerships between VA health services researchers and clinical managers, with the goal of designing and evaluating interventions to improve the quality of VA health care.

Methods

In the present report we describe one such initiative aimed at enhancing the continuum of colorectal cancer (CRC) care, including diagnosis, treatment and surveillance–the Colorectal Cancer Care Collaborative (C4).

Results

We describe the process and thinking that led to two parallel quality improvement “collaboratives” that addressed (1) CRC screening and diagnostic follow-up and (2) the guideline concordance and timeliness of CRC treatment. Additionally, we discuss ongoing effort to spread lessons learned during the first stages of the project, which initially occurred at only a subset of VA facilities, throughout the VA health care system. The description of this initiative is organized around key questions that must be answered when developing, sustaining and spreading multi-component quality improvement interventions.

Conclusion

We conclude with a discussion of lessons learned that we believe would apply to similar initiatives elsewhere, even if they address different clinical issues in health care settings with different organizational structures.

KEY WORDS

colorectal cancer United States Department of Veterans Affairs quality assurance health care 

Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  • George L. Jackson
    • 1
    • 2
  • Adam A. Powell
    • 3
    • 4
  • Diana L. Ordin
    • 5
  • James E. Schlosser
    • 6
    • 7
    • 8
  • Jeffery Murawsky
    • 9
    • 10
  • Janis Hersh
    • 6
  • George Ponte
    • 6
  • Leah L. Zullig
    • 1
  • Fabiane Erb
    • 11
  • Renee Parlier
    • 11
  • David A. Haggstrom
    • 12
    • 13
    • 14
  • Nancy Koets
    • 3
  • Peter D. Mills
    • 15
    • 16
  • Joseph Francis
    • 5
  • Michael J. Kelley
    • 17
    • 18
  • Michael L. Davies
    • 11
    • 19
  • Dawn Provenzale
    • 1
    • 20
  • for the VA Colorectal Cancer Care Planning Committee Members
  1. 1.Health Services Research & Development (HSR&D) Center for Health Services Research in Primary CareDurham Veterans Affairs Medical CenterDurhamUSA
  2. 2.Division of General Internal MedicineDuke University Medical CenterDurhamUSA
  3. 3.HSR&D Center for Chronic Disease Outcomes ResearchMinneapolis Veterans Affairs Medical CenterMinneapolisUSA
  4. 4.Division of General Internal MedicineUniversity of Minnesota School of MedicineMinneapolisUSA
  5. 5.Office of Quality and PerformanceVeterans Health Administration Central OfficeWashingtonUSA
  6. 6.Veterans Affairs New England Healthcare SystemBedfordUSA
  7. 7.Primary Care ServiceBedford Veterans Affairs Medical CenterBedfordUSA
  8. 8.Section of General Internal MedicineBoston University School of MedicineBostonUSA
  9. 9.Veterans Affairs Great Lakes Healthcare SystemHinesUSA
  10. 10.Division of General Internal MedicineLoyola University Chicago Stritch School of MedicineMaywoodUSA
  11. 11.Office of Systems RedesignVeterans Health Administration Central OfficeWashingtonUSA
  12. 12.HSR&D Center of Excellence on Implementing Evidence-Based PracticeRoudebush Veterans Affairs Medical CenterIndianapolisUSA
  13. 13.Regenstrief Institute Inc.IndianapolisUSA
  14. 14.Division of General Internal Medicine and GeriatricsIndiana University School of MedicineIndianapolisUSA
  15. 15.National Center for Patient Safety Field OfficeWhite River Junction Veterans Affairs Medical CenterWhite River JunctionUSA
  16. 16.Department of PsychiatryDartmouth Medical SchoolHanoverUSA
  17. 17.Office of Patient Care ServicesVeterans Health Administration Central OfficeWashingtonUSA
  18. 18.Division of Medical OncologyDuke University Medical CenterDurhamUSA
  19. 19.Division of General Internal MedicineUniversity of South Dakota Sanford School of MedicineSioux FallsUSA
  20. 20.Division of GastroenterologyDuke University Medical CenterDurhamUSA

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