Table 1 Outline of REP process for health services-based interventions

Pre-conditions

Identify need

--Identify high-burden condition

Researchers

--Identify barriers to implementation

Identify effective intervention

--Identify intervention tested in a completed, randomized controlled study

Researchers

Identify barriers

--Organizational needs assessment, usual care

Researchers, representatives from practices, providers of community-based organizations (target population)

Draft package

--Write package into everyday language

Intervention developers

--Distinguish core elements, menu options

Pre-implementation

Community Working Group

--Select Community Working Group (CWG)

Researchers, CWG (i.e., health plans, practices, providers, patients, purchasers)

--Refine package, Core elements and menu options refined based on CWG input, adjudicated by intervention developers

--Refine training, technical assistance approach strategies per CWG input

Pilot test package

--Further refinement of package

Researchers, CWG

Orientation

--Identify eligible organizations

Researchers, CWG, organizations participating in implementation

--Logistics of dissemination

--Kick-off meeting, package dissemination

Implementation

Training

--Organization staff training

Researchers and staff

Technical assistance

--Follow-up with organizations

Technical assistance expert

Evaluation

--Formative evaluation

Researchers

--Model fidelity

--Patient outcomes

--Return on investment

Ongoing support

--Continue CWG, site visits

Researchers, CWG

Feedback and refinement

--Analyze data, inform sustainability

CWG, Researchers

--Refine package

Maintenance and evolution

Organizational, financial changes

--CWG advises on sustainability strategies

Researchers, CWG, sites

--Develop business case for intervention and REP process

National dissemination

--Reproduce package

Researchers, CWG

--Refine business case: return on investment

Re-customize delivery as need arises

--Continue to refine package (e.g., menu options)

Researchers, CWG