Pragmatic and Innovative Approaches to Evaluating Implementation Costs

Hannah Cheng, MS
Stanford University

Todd Wagner, PhD
Stanford University

ABSTRACT:
This presentation highlights practical and innovative approaches to economic evaluations in implementation endeavors. Part I provides an overview of Delivering Implementation Strategies Cost (DISCo), a pragmatic micro-costing tool that separates delivery and participation costs while outlining practical considerations for measuring implementation costs. Part II discusses economic evaluation approaches beyond traditional cost-effectiveness analysis, focusing on underused or novel approaches, such as data envelopment analysis, stochastic frontier analysis, budget impact analysis, and value-focused methods. The presentation equips researchers with a versatile economic toolkit to understand the value of implementation.

Implementing Collaborative Care at Scale: Insights from a Hybrid Trial and Rapid Expansion

Allison Carroll, PhD
Northwestern University

Meredith Boyd, PhD
Northwestern University

Emily Fu, PhD, MPH
University of Chicago

ABSTRACT:
The Collaborative Care Model (CoCM) is an evidence-based intervention to treat mild to moderate mental health conditions in primary care settings. Although the effectiveness of CoCM has been extensively researched, less is known about the strategies needed to successfully implement and sustain CoCM, particularly under pragmatic conditions. In this presentation, we will share findings from multiple phases of CoCM implementation. First, we conducted a randomized roll-out implementation optimization type 2 hybrid effectiveness-implementation trial of CoCM among 11 clinics within one region of the health system. Second, we will describe how learnings from this phase informed health system-wide implementation of CoCM across 74 clinics. Finally, we will describe novel, rapid approaches that are currently being piloted to increase the adoption and reach of CoCM.