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We established facility\u2010level interdisciplinary quality improvement (QI) teams and a regional\u2010level cross\u2010facility collaborative. We used a nonrandomized stepped wedge design with repeated cross sections to accommodate the phased implementation. Using aggregate facility\u2010level data from October 2015 to September 2022, we analyzed changes in patients receiving MOUD using hierarchical multiple logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection\/Extraction Methods<\/jats:title>\n                    <jats:p>Eligible patients had an opioid use disorder (OUD) diagnosis from an outpatient or inpatient visit in the previous year. Receiving MOUD was defined as having been prescribed an opioid agonist or antagonist treatment or a visit to an opioid substitution clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>The probability of patients with OUD receiving MOUD improved significantly over time for all eight facilities (average marginal effect [AME]: 0.0057, 95% CI: 0.0044, 0.0070) due to ongoing VHA initiatives, with the probability of receiving MOUD increasing by 0.577 percentage points, on average, each quarter, totaling 16 percentage points during the evaluation period. The seven facilities engaging in EBQI experienced, on average, an additional 5.25 percentage point increase in the probability of receiving MOUD (AME: 0.0525, 95%CI: 0.0280, 0.0769). EBQI duration was not associated with changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EBQI was effective for expanding access to MOUD in nonspecialty settings, resulting in increases in patients receiving MOUD exceeding those associated with temporal trends. Additional research is needed due to recent MOUD expansion legislation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.14371","type":"journal-article","created":{"date-parts":[[2024,9,8]],"date-time":"2024-09-08T20:28:48Z","timestamp":1725827328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Engaging healthcare teams to increase access to medications for opioid use disorder"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5277-7493","authenticated-orcid":false,"given":"Rebecca S.","family":"Oberman","sequence":"first","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis K.","family":"Huynh","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Cummings","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1118-5720","authenticated-orcid":false,"given":"Adam","family":"Resnick","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3266-1132","authenticated-orcid":false,"given":"Stephanie L.","family":"Taylor","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"},{"name":"Department of Medicine, David Geffen School of Medicine University of California Los Angeles  Los Angeles California USA"},{"name":"Department of Health Policy and Management University of California, Los Angeles Fielding School of Public Health  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia A.","family":"Bergman","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6755-1566","authenticated-orcid":false,"given":"Evelyn T.","family":"Chang","sequence":"additional","affiliation":[{"name":"VHA Center for the Study of Healthcare Innovation Implementation and Policy (CSHIIP)  Los Angeles California USA"},{"name":"Division of General Internal Medicine, Department of Medicine VA Greater Los Angeles Healthcare System  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,8]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"Drug overdose deaths in the United States, 1999\u20102019","volume":"394","author":"Hedegaard H","year":"2020","journal-title":"NCHS Data Brief"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000717"},{"key":"e_1_2_9_4_1","unstructured":"Center for Disease Control National Center for Health Statistics.Provisional Drug Overdose Death Counts. 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