Putting practice guidelines to work in the Department of Defense medical system : a guide for action

This guide describes a process that will help your MTF successfully achieve evidence-based practice, a major priority of the DoD. The Challenges Of Implementing Evidence-based Practice Guidelines In Clinical Settings Have Been Widely Recognized In The Health Care Field. This Implementation Guide Is Designed As A How-to Resource For Managers And Clinicians In The Military Health System Who Seek Practical Techniques To Help Them Integrate Evidence-based Practice Guidelines Into The Medical Care Processes At Their Medical Treatment Facilities (mtfs). The Guide Will Be Of Particular Use Because Its Content Is Based On Both Published Research On Clinical Guideline Implementation And More Than Two Years Of Experience With Guideline Implementation During The Army Medical Department/rand Guideline Implementation Project. In This Project, Three Regional Demonstrations Tested Methods For Implementing Three Different Guidelines, With The Participation Of Eleven Army Mtfs. Lessons Learned From The Project Have Been Incorporated Into The Information Provided In This Guide As Well As In Field Note Examples Highlighted Throughout The Document. Will Nicholas ... [et Al.]. Mr-1267-a. Prepared For The United States Army. Center For Military Health Policy Research. Preface......Page 1 Acknowledgments......Page 3 1. INTRODUCTION......Page 4 2. OVERVIEW OF GUIDELINE IMPLEMENTATION AND KEYS TO SUCCESS......Page 10 3. EFFECTIVE TEAMWORK FOR GUIDELINE IMPLEMENTATION......Page 18 4. PLANNING FOR ACTION......Page 24 5. MAKING CHANGE HAPPEN......Page 40 6. MEASURING EFFECTS......Page 48 A. Guideline Implementation Strategies for MTF Commanders......Page 60 B. DoD/VA Key Guideline Elements......Page 68 C. Planning Preparation Worksheets (Low Back Pain Example)......Page 72 D. Action Plan Worksheets......Page 78 E. Group Process Methods......Page 84 F. The AMEDD Guideline Implementation Toolkits......Page 88 G. Sample Implementation Action Plan: DoD/VA Low Back Pain Guideline......Page 90 H. DoD/VA Guideline Metrics......Page 98