Improving Knowledge and Information Sharing to Promote Best Practices in Stroke Care: Evaluation of the VA Stroke QUERI Toolkit

Elizabeth Sternke, Nicholas Burrus, Virginia Daggett, Laurie Plue, Katherine Carlson, Linda Hershey and Neale R. Chumbler
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Elizabeth Sternke: Department of Veterans Affairs Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
Nicholas Burrus: Department of Veterans Affairs Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, 11 Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
Virginia Daggett: Veterans Integrated Service Network, VA Center for Applied Systems Engineering, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
Laurie Plue: Department of Veterans Affairs Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
Katherine Carlson: Department of Veterans Affairs Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
Linda Hershey: Department of Neurology, Health Sciences Center, University of Oklahoma, Oklahoma City, OK, USA
Neale R. Chumbler: Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA

International Journal of Reliable and Quality E-Healthcare (IJRQEH), 2013, vol. 2, issue 1, 11-25

Abstract: Despite many advances in stroke care treatment, there is substantial room for improvement in quality of care for stroke patients. In an attempt to disseminate up-to-date quality information and evidence-based best practices of stroke care, the Veterans Health Administration (VHA)and the VHA Stroke QUERI implemented an innovative web-based toolkit tailored for providers and program planners interested in improving stroke care quality. This study evaluated the VA Stroke QUERI Toolkit to determine its most useful aspects and those that require improvement. In-depth qualitative interviews (n = 48) were conducted with a geographically dispersed sample of clinicians and program planners throughout the VHA system. Findings suggest the Stroke QUERI toolkit was perceived as an effective, efficient and user-friendly site but knowledge of the toolkit continues to be initiated and shared mainly through individuals and small groups. To achieve greater impact a comprehensive set of strategies designed to encourage broader uptake is required.

Date: 2013
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International Journal of Reliable and Quality E-Healthcare (IJRQEH) is currently edited by Anastasius Moumtzoglou

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