Implementation Barriers to and Facilitators of Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Federally Qualified Health Centers (FQHCs). Implementation


Encompasses the steps taken to introduce and sustain the innovation.

Several implementation processes have been associated with increased uptake of pharmacotherapy.350 In the VA, an organizational development consultation service was set up to assist VA primary care practices to initiate, maintain, and expand buprenorphine treatment. The coordination team established and maintained email Listservs; published newsletters; provided webcasts; developed and distributed a resource and protocol guide; convened monthly task force calls; provided email and phone consultation; and connected the buprenorphine implementation process with other quality improvement activities within the VA. Key informants and FQHC site staff indicated that FQHCs could significantly benefit from organizational development consultation with training and technical assistance to build capacity and develop a sustainable plan for delivering MAT.

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