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The Collaborative Model of Evidence Translation (CoMET©)

The Collaborative Model of Evidence Translation (CoMET©) was developed and tested at Maine Medical Center (Lancaster et al. 2014). The model utilized the Promoting Action on Research Implementation in Health Services or PARIHS framework (Kitson et.al.,1998) for evidence translation, which posits three core concepts: 

(1) Evidence: the strength and nature of the evidence as perceived by multiple stakeholders (Rycroft-Malone et al., 2004)  

(2) Context: the quality of the context or environment in which the research is implemented (Kitson et al., 1998)

(3) Facilitation: the process of helping and enabling the implementation of evidence into practice (Harvey et al., 2002)

The CoMET© provides a framework to guide implementation of evidence-based practice initiatives to improve healthcare outcomes. The CoMET©  defines a standardized process for reviewing, communicating, implementing & monitoring the outcomes of evidence-based patient care policies, practice guidelines and standards of care. When used by the Practice, Research, & Quality Councils, their collaborative efforts determine the strength of the evidence, education content, and the implementation and facilitation process for a practice initiative with the goal of improving practice uptake, sustainability and improving outcomes.

Essentially, councils collaborate to:

  • Identify the practice change/initiative
  • Critically appraise the evidence
  • Determine appropriateness of practice initiative
  • Plan: education, facilitation process, & data collection
  • Customize the implementation
  • Facilitate the Practice Initiative
  • Monitor, report, and evaluate the outcomes

The collaboration is guided by: (a) the CoMET algorithm ©, (b) the CoMET Pathway © and supported by (c) the Toolbox.  The algorithm describes the collaborative process and the pathway demonstrates the systematic process for using the algorithm. The algorithm, the pathway and the toolbox were developed to ensure:

  • Consistent understanding of the process
  • Ensures steps are followed by everyone
  • Lead Sponsor identification and commitment to a practice initiative

By using CoMET© and following its standardized processes, practice initiatives are more likely to be sustainable, leading to less variation in practice and improved outcomes.

References:

Harvey, G., Loftus-Hills, A., Rycroft-Malone, J., Titchen, A., Kitson, A., McCormack, B., &  Seers, K. (2002). 

Getting evidence into practice: the role and function of facilitation. Journal of Advanced Nursing, 37(6), 577-588.

Kitson, A., Harvey, G., & McCormack, B. (1998). Enabling the implementation of evidence-based practice:  a conceptual framework. Quality in Healthcare, 7(1), 149-158.

Lancaster, K. Hyrkas, K., Michaud D., & Kent G. (2014). Promoting evidence-based practice and

improving outcomes through council collaboration using a model of evidence translation. 2014 ANCC National Magnet Conference, Dallas, TX: Kay Bailey Hutchison Convention Center. October 8-10, 2014 (Podium)

Rycroft-Malone, J., Harvey, G., Seers, K., Kitson, A., McCormack, B., & Titchen, A. (2004). An exploration of  the factors that influence the implementation of evidence into practice.  Journal of Clinical Nursing, 13(1), 913-924.

Maine Medical Center is a member of the MaineHealth System