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VilaHealth-TheBestEvidenceforaHealthCareChallenge..docx

Email 1:

FW: Committee response to EBP presentation

From: Jackie Sandoval, CNO, St. Anthony Medical Center

To: Kayla Stephens

Hi,

I’m forwarding another email to you that I think you’ll find useful. This email is a summary is from Melissa Cohen, our COO, who conducted an EBP presentation to our medical staff last night. You should be able to use this as additional data to integrate into an implementation strategy for the evidence-based intervention to improve safety scores.

I am giving you this because it represents the kind of qualitative evidence and clinical expertise that must be integrated into recommendations on strategies to implement an evidence-based intervention.

Best, Jackie

Email: 2

FW: EBP and Patient Safety Scores

From: Melissa Cohen, COO, St. Anthony Medical Center

To: Kayla Stephens

Hi Jackie

I just wanted to let you know about the presentation I made last night at the Medical Committee’s quarterly meeting about EBP. As an example in my presentation, I discussed the research evidence article you found by Carlfjord et al. To my surprise, this sparked some heated debate!

· Some of the committee members were excited about EBP, but others were very skeptical – and to paraphrase Dr. Booker, the Chief Medical Officer, there isn’t consensus among the Medical Committee on the effectiveness and value of evidence-based interventions.

· Most of the committee members want to see more information and data about how EBP is going to be used in order to support improvements in safety and other areas. Several doctors stated explicitly that they were not on board with using EBP to make such big changes, and that they were not going to change their own practices unless they saw solid research evidence to support the need for those changes. In addition, some of the committee members also wanted to see evidence that substantiates our poor safety scores and the intervention.

· Dr. Booker argued that we need to see what other physicians have to say about EBP, and he suggested that a focus group might be helpful.

· Some committee members were enthusiastic about evidence-based interventions, and several said that they think we should be working towards a culture of evidence across the organization. They expressed the opinion that EBP is the new trend in improving quality of care.

Anyway, I thought you should be aware of this debate as you work on your intervention.

Best, Melissa