How to plan for guideline implementation and

sustainability

Eddy Lang (Alberta Health Services) Ian Graham (University of Ottawa)

Peter Dayan (Columbia University Pediatrics)

Disclosures

• None

1. Become introduced to the scientific foundations and the resources that are pertinent to the field of Knowledge Translation aka Implementation Science.

2. Acquire a practical framework for applying KT science in the creation of an evidence implementation project.

3. Gain practical experience in developing such a plan using a current and robust clinical practice guideline in emergency pediatrics.

Objectives

Agenda• 3:00 – 3:10: Orientation and overview (Lang)• 3:10 – 3:20: The Knowledge to Action Cycle (Graham)• 3:20 – 3:30: Barriers and facilitators of implementation

(Dayan)• Small group break-outs• 3:30 – 4:00: Developing an evidence implementation

plan around the IDSA sinusitis guideline• 4:00 – 4:30: Rapportage by KTA cycle components.

Menu• Stakeholder engagement• Environmental scanning• Barrier identification• Multifaceted targeted intervention

development• Impact metrics and sustainability

Challenge• Leadership role in primary care

organization with 50 MDs operating out of large clinic.

• Increasing complications of antibiotic use for sinusitis

• Accreditation / regulatory issue• Implementation of the 2012 IDSA

guideline

IDSA Guidance

• I. Which Clinical Presentations Best Identify Patients With Acute Bacterial versus Viral Rhinosinusitis?

• II. When Should Empiric Antimicrobial Therapy Be Initiated in Patients With Signs and Symptoms Suggestive of Acute Bacterial Rhinosinusitis (ABRS)?

AGENDA3:30 – 4:00 Breakout Sessions

• Group 1: Getting Started: Measuring practice gaps / barrier identification / understanding the landscape for implementation (A-I)

• Group 2: The Guts of Implementation: Multifaceted targeted intervention development (J-R)

• Group 3: Keeping Implementation alive and well: Quality improvement dimensions and sustainability (S-Z)