McAlpine Laura, Ramjohn Candace, Faught Erin L, Popeski Naomi, Keogh Eileen, Zimmermann Gabrielle L
Department of Medicine, Alberta SPOR SUPPORT Unit, Learning Health System Team, University of Alberta, Edmonton, AB, Canada.
Private Research and Evaluation Consultant, Edmonton, AB, Canada.
Implement Sci Commun. 2025 Mar 31;6(1):32. doi: 10.1186/s43058-025-00715-y.
Evaluating implementation outcomes is gaining momentum in health service delivery organizations. Teams are increasingly recognizing the importance of capturing and learning from their implementation efforts, and Implementation Scientists have published extensively on implementation outcomes. However, Quality Improvement approaches and tools are more widely recognized and routinely used in healthcare to improve processes and outcomes. This article describes the development of an interactive online tool designed to help researchers and practitioners effectively design and develop appropriate evaluation plans that support the understanding of successful implementation.
There were two main development phases. Phase 1, from January to October 2020, involved several design sessions with a small group of professionals leading implementation initiatives within the provincial health delivery system. This resulted in a testable prototype. Phase 2, from November 2020 to June 2021, focused on usability testing and interviews with a broader group of researchers and professionals leading implementation initiatives across the province.
The result is the EQUIP (Evaluating QUality and ImPlementation) Tool, an interactive online tool that integrates quality measures from the Alberta Quality Matrix for Health and implementation measures from widely used outcomes frameworks, such as the one developed by Proctor and colleagues and the RE-AIM planning and evaluation framework. The tool encourages users to explore implementation outcomes and quality dimensions from different perspectives and select questions and indicators relevant to their project.
The EQUIP tool was designed and refined in collaboration with end users to create an accessible and practical online tool. This work addresses the call for greater integration of Quality Improvement and Implementation Science by combining approaches from both fields to strengthen evaluation processes within the health system.
在卫生服务提供组织中，评估实施成果正日益受到关注。各团队越来越认识到记录并从实施工作中学习的重要性，实施科学家也已就实施成果发表了大量文章。然而，质量改进方法和工具在医疗保健领域得到了更广泛的认可并被常规用于改善流程和成果。本文介绍了一种交互式在线工具的开发，该工具旨在帮助研究人员和从业人员有效地设计和制定适当的评估计划，以支持对成功实施的理解。
主要有两个开发阶段。第一阶段从2020年1月至10月，与省级卫生服务系统内领导实施计划的一小群专业人员进行了几次设计会议。这产生了一个可测试的原型。第二阶段从2020年11月至2021年6月，重点进行了可用性测试，并与全省范围内领导实施计划的更广泛的研究人员和专业人员进行了访谈。
成果是EQUIP（评估质量与实施）工具，这是一种交互式在线工具，它整合了来自艾伯塔省健康质量矩阵的质量指标以及来自广泛使用的成果框架（如普罗克特及其同事开发的框架和RE-AIM规划与评估框架）的实施指标。该工具鼓励用户从不同角度探索实施成果和质量维度，并选择与其项目相关的问题和指标。
EQUIP工具是与最终用户合作设计和完善的，以创建一个易于使用且实用的在线工具。这项工作通过结合两个领域的方法来加强卫生系统内的评估流程，回应了对更好地整合质量改进和实施科学的呼吁。
