Domain | Organize executive implementation team | Identify and prepare local site project team/site champions | Facilitate using an implementation advisor | Develop and distribute educational materials | Facilitate relay of clinical data to clinicians |
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Actor(s) | Cross-disciplinary leadership including ICU clinical and implementation leaders | Local deployment by clinical teams including site physician, nurse and respiratory care leaders, and site champions | Project leader/facilitator with expertise in process improvement and implementation | Cross-disciplinary clinical operations team including system physician, nurse and respiratory care leaders, clinical education and training, information technology | Cross-disciplinary team including clinical and implementation effectiveness leadership, information technology |
Action(s) | Coordinate efforts of working teams, set performance goals, monitor performance | Monitor site performance, identify and address barriers to adherence through rapid cycle Plan-Do-Study-Act experiments | Provide consultation on use of rapid-cycle Plan-Do-Study-Act, including training and best practice sharing forums | Develop and distribute training materials, including implementation toolkit (goals, roles, contact list, protocol reference guide, FAQ) | Develop and deploy standardized C-SAT/SBT clinical workflow measurement system and supporting technology |
Targets of the action | Local site project teams/champions | Front-line clinicians | Enterprise executive implementation team | Local site project teams/champions, front-line clinicians | System leadership, local site project teams/champions, front-line clinicians |
Temporality | Initiation through post-implementation phase | Implementation phase | Initiation through implementation phase | Implementation phase | Initiation through post-implementation phase |
Dose | At least monthly | Weekly or biweekly | Weekly/biweekly sessions as needed by site | At site deployment and as needed by site | Monthly |
Implementation outcomes affected | Uptake, penetration | Uptake, penetration, fidelity | Uptake, penetration | Uptake, penetration, fidelity | Uptake, penetration, fidelity |