Provider: Iowa Health Care
Background: The University of Iowa Health Care has been a leader in evidence-based practice (EBP) since the movement’s infancy in the 1980s. Researchers and clinicians at the university designed a unique model for practice change now used worldwide, The Iowa Model, based on Roger’s Diffusion of Innovation theory. A number of training programs were developed to expand the EBP capacity for the health system and externally. The cornerstone program is the organization’s EBP Staff Nurse Internship which trains point-of-care nurses to lead EBP improvements to address clinical issues identified by staff in their day to day operations (what they refer to as a “bottom-up” approach). In response to the growing prevalence of value-based payments – which align nicely with their existing focus on continually enhancing the quality of care – the organization sought to develop an additional program to implement practice change specifically related to the organization’s strategic objectives and quality metrics. As such, the EBP Change Champion program was developed. The program achieves a unique balance of “top-down” EBP while maintaining meaningful engagement of the relevant internal stakeholders.