Ignite Creation Date:
2024-10-26 @ 3:40 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06593353
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-09
Brief Title:
Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
SAIA-MOUD
Brief Summary:
This study evaluates the effectiveness of a health systems strategy the Systems Analysis and Improvement Approach - SAIA that packages systems engineering tools including cascade analysis flow mapping and continuous quality improvement to optimize the management of opioid use disorder MOUD care cascade and improve linkages between jails and clinical referral sites
We will
1 study the effectiveness of SAIA on MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics
2 explore determinants of adoption implementation and sustainment of SAIA-MOUD across implementation clinics and
3 estimate the cost and cost-effectiveness of SAIA-MOUD
We will
1 study the effectiveness of SAIA on MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics
2 explore determinants of adoption implementation and sustainment of SAIA-MOUD across implementation clinics and
3 estimate the cost and cost-effectiveness of SAIA-MOUD
Detailed Description:
SAIA is an evidence-based implementation strategy of bundled systems engineering tools designed to optimize complex healthcare delivery systems and improve linkages between clinical and community providers The SAIA-MOUD study aims to strengthen the quality and continuity of MOUD care and linkages to social services across jail and referral clinics in King County WA We will implement the SAIA for three years-including a two-year intensive phase and one year of sustainment-at one jail based MOUD program and three referral MOUD clinics We will then evaluate the effectiveness of SAIA on improving MOUD cascade quality and continuity for patients receiving care in jail and exiting to referral clinics determining the effect on linkage to care within 30 days of release A secondary outcome of retention those who return for a second MOUD pick up within 30 days of initial linkage will be considered We will also describe-and explore determinants of-adoption implementation and sustainment of SAIA-MOUD via qualitative inquiry with jail and clinic staff Analysis will be guided by the Consolidated Framework for Implementation Research CFIR and the Framework for Reporting Adaptations and Modification to Evidence-based Implementation Strategies FRAME-IS will be used to document implementation strategy adaptations We will estimate the cost and cost-effectiveness of SAIA-MOUD using the cost per quality-adjusted life year gained from the county government healthcare sector and societal perspectives Using a micro-costing approach we will estimate the incremental costs of implementing and sustaining SAIA in jail and community-based clinics
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None