Sustainability of Change within a Quality Improvement Collaborative

Multi-organizational quality improvement collaboratives (QICs) are effective strategies for implementing evidence-based practices and improving patient care.6-13 Research on the effectiveness of quality improvement collaboratives to promote long-term sustainment of change is lacking, however. Moreover, we do not yet understand what attributes--organizational, innovation or environmental–are the most important contributors to the ability of organizations to successfully sustain change following participation in quality improvement collaboratives. This research study uses mixed-effects regression modeling and qualitative interviews to achieve our specific aims:

Specific Aim 1: Assess the level of sustainment of NIATx200 individual level outcomes--wait time, retention and number of admissions—during the 36 months following termination of NIATx200 supports.

Specific Aim 2: Identify attributes in the environment, in the organization and of the implemented innovation, that influence whether process improvements experienced during the NIATx200 intervention were sustained.

Project Duration: 07/01/14-06/30/17

Primary Personnel

Principal Investigator: James H. Ford II
Co-Investigator: Jim Robinson
Kaiser Permanente, Scott Stumbo Subcontract PI

Funding Source

National Institute on Drug Abuse


National Institute on Drug Abuse


  • Ford II JH, Robinson J and Stumbo S. Assessing Long-Term Sustainability of Wait Time Improvements from Participation in the NIATx200 Quality Improvement Collaborative. Addictions Health Services Research Conference (Oral Presentation). October 13-15, 2016. Seattle Washington
  • Stumbo S, Green CA, Scheirer MA and Ford II JH. Factors Influencing the Long-Term Sustainability of Quality Improvements Made in Addiction Treatment Facilities. Addictions Health Services Research Conference (Oral Presentation). October 13-15, 2016. Seattle Washington
  • Ford II JH, Alagoz E, Dinauer S, Johnson KA, Pe-Romashko K, Gustafson DH Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders J Med Internet Res 2015;17(8):e201 DOI: 10.2196/jmir.3965 PubMed PMID: 26286257. PMCID: PMC4642385.
  • Ford II JH; Robinson J; Krahn D; McCarty D and Gustafson D. Role of Staff Perceptions about Sustainability on Sustained Improvements (Poster Presentation). Addiction Health Services Research, October 23-25, 2013. Portland, OR.