| Overall N = 548 | Planned n = 282 | Delivered n = 266 |
---|---|---|---|
Implementation strategies | n (%) | n (%) | n (%) |
Not matched to ERIC | 153 (27.9) | 71 (25.2) | 82 (30.8) |
Adapt and tailor to context | |||
 Promote adaptability | 5 (0.9) | 4 (1.4) | 1 (0.4) |
 Tailor strategies | 8 (1.5) | 4 (1.4) | 4 (1.5) |
 Use data experts | 2 (0.4) | 1 (0.4) | 1 (0.4) |
 Use data warehousing techniques | 2 (0.4) | 1 (0.4) | 1 (0.4) |
Change infrastructure | |||
 Change accreditation or membership requirements | 2 (0.4) | 1 (0.4) | 1 (0.4) |
 Change liability laws | 0 | 0 | 0 |
 Change physical structure and equipment | 9 (1.6) | 6 (2.1) | 3 (1.1) |
 Change record systems | 4 (0.7) | 3 (1.1) | 1 (0.4) |
 Change service sites | 5 (0.9) | 4 (1.4) | 1 (0.4) |
 Create or change credentialing/licensure standards | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Mandate change | 3 (0.5) | 2 (0.7) | 1 (0.4) |
 Start a dissemination organization | 0 | 0 | 0 |
Develop stakeholder interrelationships | |||
 Build a coalition | 12 (2.2) | 5 (1.8) | 7 (2.6) |
 Capture and share local knowledge | 7 (1.3) | 5 (1.8) | 2 (0.8) |
 Conduct local consensus discussions | 9 (1.6) | 3 (1.1) | 6 (2.3) |
 Develop academic partnerships | 6 (1.1) | 2 (0.7) | 4 (1.5) |
 Develop an implementation glossary | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Identify and prepare champions | 11 (2.0) | 8 (2.8) | 3 (1.1) |
 Identify early adopters | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Inform local opinion leaders | 5 (0.9) | 4 (1.4) | 1 (0.4) |
 Involve executive boards | 6 (1.1) | 3 (1.1) | 3 (1.1) |
 Model and simulate change | 3 (0.5) | 2 (0.7) | 1 (0.4) |
 Obtain formal commitments | 6 (1.1) | 3 (1.1) | 3 (1.1) |
 Organize clinician implementation team meetings | 10 (1.8) | 6 (2.1) | 4 (1.5) |
 Promote network weaving | 3 (0.5) | 0 (0.0) | 3 (1.1) |
 Recruit, designate, and train for leadership | 5 (0.9) | 4 (1.4) | 1 (0.4) |
 Use advisory boards and workgroups | 9 (1.6) | 5 (1.8) | 4 (1.5) |
 Use an implementation advisor | 2 (0.4) | 0 (0.0) | 2 (0.8) |
 Visit other sites | 0 | 0 | 0 |
Engage consumers | |||
 Increase demand | 3 (0.5) | 2 (0.7) | 1 (0.4) |
 Intervene with patients/consumers to enhance uptake and adherence | 6 (1.1) | 6 (2.1) | 0 (0.0) |
 Involve patients/consumers and family members | 3 (0.5) | 1 (0.4) | 2 (0.8) |
 Prepare patients/consumers to be active participants | 0 | 0 | 0 |
 Use mass media | 3 (0.5) | 1 (0.4) | 2 (0.8) |
Provide interactive assistance | |||
 Centralize technical assistance | 4 (0.7) | 2 (0.7) | 2 (0.8) |
 Facilitation | 5 (0.9) | 2 (0.7) | 3 (1.1) |
 Provide clinical supervision | 4 (0.7) | 4 (1.4) | 0 (0.0) |
 Provide local technical assistance | 6 (1.1) | 2 (0.7) | 4 (1.5) |
Support clinicians | |||
 Create new clinical teams | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Develop resource-sharing agreements | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Facilitate relay of clinical data to providers | 5 (0.9) | 3 (1.1) | 2 (0.8) |
 Remind clinicians | 4 (0.7) | 3 (1.1) | 1 (0.4) |
 Revise professional roles | 11 (2.0) | 9 (3.2) | 2 (0.8) |
Train and educate stakeholders | |||
 Conduct educational meetings | 16 (2.9) | 7 (2.5) | 9 (3.4) |
 Conduct educational outreach visits | 4 (0.7) | 1 (0.4) | 3 (1.1) |
 Conduct ongoing training | 8 (1.5) | 5 (1.8) | 3 (1.1) |
 Create a learning collaborative | 9 (1.6) | 5 (1.8) | 4 (1.5) |
 Develop educational materials | 10 (1.8) | 3 (1.1) | 7 (2.6) |
 Distribute educational materials | 5 (0.9) | 2 (0.7) | 3 (1.1) |
 Make training dynamic | 6 (1.1) | 4 (1.4) | 2 (0.8) |
 Provide ongoing consultation | 8 (1.5) | 4 (1.4) | 4 (1.5) |
 Shadow other experts | 2 (0.4) | 1 (0.4) | 1 (0.4) |
 Use train-the-trainer strategies | 3 (0.5) | 3 (1.1) | 0 (0.0) |
 Work with educational institutions | 1 (0.2) | 1 (0.4) | 0 (0.0) |
Use evaluative and iterative strategies | |||
 Assess for readiness; identify barriers and facilitators | 13 (2.4) | 5 (1.8) | 8 (3.0) |
 Audit and provide feedback | 15 (2.7) | 6 (2.1) | 9 (3.4) |
 Conduct cyclical small tests of change | 8 (1.5) | 6 (2.1) | 2 (0.8) |
 Conduct local needs assessment | 11 (2.0) | 7 (2.5) | 4 (1.5) |
 Develop a formal implementation blueprint | 11 (2.0) | 8 (2.8) | 3 (1.1) |
 Develop and implement tools for quality monitoring | 4 (0.7) | 3 (1.1) | 1 (0.4) |
 Develop and organize quality monitoring systems | 8 (1.5) | 6 (2.1) | 2 (0.8) |
 Obtain and use patient/consumer and family feedback | 4 (0.7) | 3 (1.1) | 1 (0.4) |
 Purposely reexamine the implementation | 5 (0.9) | 3 (1.1) | 2 (0.8) |
 Stage implementation scale-up | 3 (0.5) | 2 (0.7) | 1 (0.4) |
Utilize financial strategies | |||
 Access new funding | 3 (0.5) | 3 (1.1) | 0 (0.0) |
 Alter incentive/allowance structures | 2 (0.9) | 1 (0.7) | 1 (1.2) |
 Alter patient/consumer fees | 0 | 0 | 0 |
 Develop disincentives | 0 | 0 | 0 |
 Fund and contract for the clinical innovation | 1 (0.2) | 0 (0.0) | 1 (0.4) |
 Make billing easier | 0 | 0 | 0 |
 Place innovation on fee-for-service lists/formularies | 1 (0.2) | 1 (0.4) | 0 (0.0) |
 Use capitated payments | 0 | 0 | 0 |
 Use other payment schemes | 0 | 0 | 0 |