Table 1 Specification of organize and mobilize for implementation effectiveness
Discrete strategy | Definition, actor, action, action target, and temporality specification |
|---|---|
1. External facilitation | Definition: Provision of guidance, resources, and coaching from an implementation expert who is external to the organization Actor: Individual with previous OEND implementation experience within SSP settings Action: Overarching mechanism by which the below strategies were delivered to SSP staff Action target: SSP staff, including naloxone implementation team and leadership Temporality: Begins within 1Â month of enrolling into the trial and occurs up to monthly for 12Â months |
2. Organize implementation team meetings | Definition: Develop and support implementation team who are implementing OEND, giving them protected time to focus on implementation efforts, share experiences, and support one another Actor: External implementation advisor (see above) Action: Web-based meetings with direct interaction between external implementation advisor and SSP staff Action target: SSP staff, including naloxone implementation team and leadership Temporality: Begins within 1Â month of enrolling into the trial and occurs up to monthly for 12Â months |
3. Identify and prepare champions | Definition: Cultivate relationships with people who will champion and generate excitement within the organization regarding OEND best practice implementation Actor: External implementation advisor (see above) Action: Focused relationship building with SSP staff who are OEND implementation champion(s) Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins with first organizational team meeting and continues as needed for 12Â months |
4. Develop and organize quality monitoring system | Definition: Develop and introduce an electronic tool that can be used to assess and prioritize best practice implementation efforts Actor: External implementation advisor (see above) Action: Using the electronic tool, external implementation advisor works with SSP staff to assess OEND best practice implementation and prioritize areas for focused efforts Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins with first organizational team meeting and continues up to monthly for 12Â months |
5. Assess for readiness and identify barriers | Definition: Assess SSPs to determine degree of readiness for best practice implementation and barriers that may impede implementation Actor: External implementation advisor (see above) Action: Focused conversation to discuss activities required for best practice implementation, readiness to carry out those activities, and potential barriers that could impede those efforts Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins within 1Â month of enrolling into the trial and occurs up to monthly for 12Â months |
6. Distribute educational materials and resources | Definition: Distribute educational materials (manuals, online trainings, etc.) electronically with regard to OEND best practices Actor: External implementation advisor (see above) Action: Electronically distribute OEND best practices manual and other resources including implementation manuals and online trainings Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins with first organizational team meeting and continues as needed for 12Â months |
7. Conduct educational meetings | Definition: Conduct educational sessions for providers and leadership with regard to OEND best practices Actor: External implementation advisor (see above) Action: Web-based trainings with direct interaction between external implementation advisor and SSP staff Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins with first organizational team meeting and continues as needed for 12Â months |
8. Provide ongoing consultation | Definition: Provide implementers with continued consultation with regard to OEND best practices Actor: External implementation advisor (see above) Action: Web-based meetings with direct interaction between external implementation advisor and SSP staff Action target: SSP staff, including OEND implementation team and leadership Temporality: Begins within 1Â month of enrolling into the trial and occurs via web-based meetings up to monthly for 12Â months and as needed via electronic communication |