WI-INTUIT: Bridging Community Based Continence Promotion and Primary Care

Improving Nonsurgical Treatment of Urinary Incontinence Among Women in Primary Care in Wisconsin: Bridging Community-based Continence Promotion and Primary Care

This project seeks to determine whether primary care practices that receive supplemental partnership building implement UI-Assist with higher fidelity than practices that receive streamlined practice facilitation alone.

This quality improvement research project is one of five across the country funded by the Agency for Healthcare Research and Quality (AHRQ) through the EvidenceNOW Managing Urinary Incontinence initiative titled: "Improving Nonsurgical Treatment of Urinary Incontinence among women in Primary Care." The purpose of this national initiative is to identify implementation strategies that best support primary care practices in delivering high quality care for urinary incontinence. Components of high-quality care including screening, diagnosing, and offering non-surgical first-line treatments for urinary incontinence in women, all of which already occur in primary care.

The WI-INTUIT quality improvement project compares two implementation strategies to implement UI-Assist, an intervention to support primary care practices in increasing their rates of screening, diagnosing, and treating urinary incontinence in their adult female patients: (1) streamlined practice facilitation (SPF) and (2) streamlined practice facilitation in combination with partnership building (SPF+PB).

This is an organizational intervention. Outcomes will be evaluated at the population-level by facility.

Primary Care practices in Wisconsin serving female adults:

Inclusion Criteria:

• Patients must be 18 years or older and be assigned female at birth
• Practices must have and be willing to provide key data from electronic health records
• Practices willing to participate in partnership building activities (randomly allocated)
• Practices willing to work with a practice facilitator to implement UI-Assist in their practice

Exclusion Criteria:

- No additional exclusion criteria