Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail
NCT06593353 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4186
Last updated 2026-05-18
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.
The investigators 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
Conditions
- Opioid Use Disorder
- Opioid Use Disorders
Interventions
- OTHER
-
Systems Analysis and Improvement Approach (SAIA)
SAIA an evidence-based, multi-prong, implementation strategy to improve systems thinking amongst frontline care teams to optimize care quality and continuity. The intervention includes monthly meetings where patient care cascades, process mapping and continuous quality improvement are used to identify bottlenecks and prioritize clinic based solutions.
Sponsors & Collaborators
-
National Institute of Nursing Research (NINR)
collaborator NIH - lead OTHER
Principal Investigators
-
Sarah Odell Gimbel-Sherr · University of Washington
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 110 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-11-21
- Primary Completion
- 2028-03-31
- Completion
- 2028-06-30
Countries
- United States
Study Locations
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