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QUERI Implementation Research Group

Implementation Strategies for HCV Treatment that Distinguish Higher-Performing VA Facilities: An Applied Use of Configurational Comparative Methods

by Edward Miech, EdD ; Vera Yakovchenko, MS, MPH
Seminar date: 3/7/2019

Description: We will present results from a national evaluation applying Configurational Comparative Methods (CCMs) to identify the implementation strategies or combinations of strategies linked to HCV treatment initiation at VA hospitals across the US. Drawing upon Boolean algebra and set theory, CCMs offer a mathematical approach to cross-case analysis that parses necessary and sufficient conditions; explicitly assesses the ways that combinations of two or more conditions relate to an outcome; and allows for equifinality (i.e., more than one solution path to an outcome). While Qualitative Comparative Analysis (QCA) is the best-known member of the CCMs family, the analysis in this presentation applies a more recently-developed method known as Coincidence Analysis (CNA). Operational Partner, Rachel Gonzalez, MPH, Assistant Director of the National Hepatic Consortium for Redesigning Care (NHCRC) for Veterans Health Administration, will be available for commentary and Q&A with the audience. Intended audience: anyone interested in research, quality improvement, and new methods, including clinicians, researchers, administrators, policy makers, and other health professionals.

DOWNLOAD: PDF handout | Audio only (mp3) | transcript

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