Evidence map›Paper›PMID 39696305›Full record

ArticleImplementation science : IS2024

Systems analysis and improvement to optimize opioid use disorder care quality and continuity for patients exiting jail (SAIA-MOUD).

Sarah Gimbel, Anirban Basu, Emily Callen, Abraham D Flaxman, Omeid Heidari, Julia E Hood, Anna Kellogg, Eli Kern, Judith I Tsui, Ericka Turley and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06593353 (Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06593353 narecruitingnot on this map

Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail

TypeinterventionalSponsorUniversity of WashingtonRan2024 to 2028Enrolled4,186ConditionsOpioid Use Disorder, Opioid Use DisordersArmsSystems Analysis and Improvement Approach (SAIA)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sarah GimbelDepartment of Child, Family and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific St, Seattle, WA, 98195, USA. sgimbel@uw.edu.ORCID 0000-0003-3330-1208
Anirban BasuCHOICE Institute, University of Washington School of Pharmacy, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Emily CallenCHOICE Institute, University of Washington School of Pharmacy, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Abraham D FlaxmanDepartment of Global Health, University of Washington Schools of Medicine and Public Health, 3980 15th Ave NE, Seattle, WA, 98105, USA.
Omeid HeidariDepartment of Child, Family and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Julia E HoodPublic Health - Seattle & King County, Chinook Building, 401 5th Ave Ste 1250, Seattle, WA, 98104, USA.
Anna KelloggDepartment of Global Health, University of Washington Schools of Medicine and Public Health, 3980 15th Ave NE, Seattle, WA, 98105, USA.
Eli KernDepartment of Health Systems and Population Health, University of Washington School of Public Health, 3980 15th Ave NE, Seattle, WA, 98105, USA.
Judith I TsuiDepartment of Medicine, University of Washington Harborview Medical Center, 325 9th Ave, Seattle, WA, 98104, USA.
Ericka TurleyJail Health Services, Public Health - Seattle & King County, 401 5th Ave Ste 1000, Seattle, WA, 98104, USA.
Kenneth SherrDepartment of Global Health, University of Washington Schools of Medicine and Public Health, 3980 15th Ave NE, Seattle, WA, 98105, USA.

Funding

Systems analysis and improvement to optimize opioid use disorder care quality and continuity for patients exiting jail (SAIA-MOUD).R01NR021102 · NINR · UNIVERSITY OF WASHINGTON · PI Sarah Odell Gimbel · 2023 to 2026
$2.6M
NINR NIH HHS 1R01NR021102-01NINR NIH HHS R01 NR021102Rita and Alex Hillman Foundation A-3079
6 · The paper itself

Abstract

backgroundBetween 2012-2022 opioid-related overdose deaths in the United States, including Washington State, have risen dramatically. Opioid use disorder (OUD) is a complex, chronic, and criminalized illness with biological, environmental, and social causes. One-fifth of people with OUD have recent criminal-legal system involvement; > 50% pass through WA jails annually. Medications for Opioid Use Disorder (MOUD) can effectively treat OUD. WA has prioritized improving access to MOUD, including for those in jails. As patients in jail settings are systematically marginalized due to incarceration, it is critical to foster connections to MOUD services upon release, an acknowledged period of high overdose risk. Currently, there is insufficient focus on developing strategies to foster linkages between jail-based MOUD and referral services. The Systems Analysis and Improvement Approach (SAIA), an evidence-based implementation strategy, may optimize complex care cascades like MOUD provision and improve linkages between jail- and community-based providers. SAIA bundles systems engineering tools into an iterative process to guide care teams to visualize cascade drop-offs and prioritize steps for improvement; identify modifiable organization-level bottlenecks; and propose, implement, and evaluate modifications to overall cascade performance. The SAIA-MOUD study aims to strengthen the quality and continuity of MOUD care across jail and referral clinics in King County, WA, and ultimately reduce recidivism and mortality.

methodsWe will conduct a quasi-experimental evaluation of SAIA effectiveness on improving MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics; examine determinants of SAIA-MOUD adoption, implementation, and sustainment; and determine SAIA-MOUD's cost and cost-effectiveness. Clinic teams with study team support will deliver the SAIA-MOUD intervention at the jail-based MOUD program and three referral clinics over a two-year intensive phase, followed by a one-year sustainment phase where SAIA implementation will be led by King County Jail MOUD staff without study support to enable pragmatic evaluation of sustained implementation. DISCUSSION: SAIA packages user-friendly systems engineering tools to guide decision-making by front-line care providers to identify low-cost, contextually appropriate health care improvement strategies. By integrating SAIA into MOUD care provision in jail and linked services, this pragmatic trial is designed to test a model for national scale-up.

trial registrationClinicalTrials.gov NCT06593353 (registered 09/06/2024; https://register. CLINICALTRIALS: gov/prs/beta/studies/S000EVJR00000029/recordSummary ).

Indexed as

Continuity of Patient CareOpioid-Related DisordersSystems AnalysisClinical Trials as TopicHumansImplementation ScienceJailsOpiate Substitution TreatmentPragmatic Clinical Trials as TopicPrisonersQuality ImprovementQuality of Health CareWashingtonBuprenorphineCascade analysisCFIRContinuous quality improvementImplementation scienceJailLinkage to careMOUDORICOverdoseProcess mappingSystems analysis and improvement approach (SAIA),Systems engineering

Identifiers

PMID39696305
PMCPMC11656616

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.