Recruiting

SAIA & MOUD

Sponsor:

University of Washington

Code:

NCT06593353

Conditions

Opioid Use Disorder

Opioid Use Disorders

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Interventions

Systems Analysis and Improvement Approach (SAIA)

Study Details

Brief summary:

This study evaluates the effectiveness of a health systems strategy (the Systems Analysis and Improvement Approach - SAIA) that packages systems engineering tools (including cascade analysis, flow mapping, and continuous quality improvement) to optimize the management of opioid use disorder (MOUD) care cascade and improve linkages between jails and clinical referral sites.

The investigators will

1. study the effectiveness of SAIA on MOUD care cascade quality and continuity for patients receiving care in jail and exiting to referral clinics
2. explore determinants of adoption, implementation, and sustainment of SAIA-MOUD across implementation clinics, and
3. estimate the cost and cost-effectiveness of SAIA-MOUD

Conditions

Opioid Use Disorder

Opioid Use Disorders

Study ID

NCT06593353

Start date

Nov 21, 2024

Status verified date

May, 2026

Completion date

Jun 30, 2028

Anticipated

Primary completion date

Mar 31, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

Implementation Outcomes (consented)

Group 1:

  • clinic staff/providers at study clinics (JHS, OBOT, Pathways, Sound)
  • age 18+

Group 2:

  • current patients at SAIA clinic in the community (OBOT, Pathways, Sound) with jail involvement in the last 12 months
  • age 18+

Clinical Outcomes (de-identified data, non consented)

Group 3:

  • receive MOUD treatment while incarcerated in King County Jails (WA).
  • age 18+
  • on Medicaid
  • released to community

Exclusion Criteria:

Group 1 \& 2:

  • do not consent

Group 3:

  • not on Medicaid

Study Design

Enrollment

4186 participants

Anticipated

Allocation

Non randomized

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: SAIA MOUD clinics in Jail Health Services

MOUD clinics within Jail Health Services implementing the Systems Analysis and Improvement Approach (SAIA)

Interventions

Systems Analysis and Improvement Approach (SAIA)

SAIA an evidence-based, multi-prong, implementation strategy to improve systems thinking amongst frontline care teams to optimize care quality and continuity. The intervention includes monthly meetings where patient care cascades, process mapping and continuous quality improvement are used to identify bottlenecks and prioritize clinic based solutions.

Primary outcome measure

  • Linkage to MOUD Care Upon Release from Jail [ Time Frame: 30 days ]

Central Contacts and Locations

Central contacts

Sarah Odell Gimbel-Sherr

206 291 4223sgimbel@uw.edu

Emily Callen

5182572197ejcallen@uw.edu

Locations

University of Washington

Recruiting

Seattle, Washington, United States, 98104

Contacts

Sarah Gimbel, PhD, MPH, BSN

206 291 4223sgimbel@uw.edu

Emily Callen

ejcallen@uw.edu

More Information

Sponsor

University of Washington

Last update posted

May 18, 2026

Last verified

May, 2026

Keywords

  • Systems Analysis and Improvement Approach (SAIA)
  • Systems Engineering
  • Medications for Opioid Use Disorder
  • Continuous Quality Improvement (CQI)
  • Jail
  • Buprenorphine
  • implementation science

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of Washington on 2026-05-18.