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Table 5 The external facilitator role in communication and formative use of data: potential activities/behaviors per QUERI experiences

From: Role of "external facilitation" in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration

1) Communication activities/behaviors

   a) Provides a basis for regular, goal-focused contact.

i) Establishes multiple means of one-way and two-way communication with ICA/s [internal change agent/s]: e.g., e-mail; phone conferences, discussion groups, phone contact information, and a problem-focused newsletter.

ii) Obtains information to keep the QUERI team updated.

   b) Provides clarity and an information source for the ICAs:

i) Shares knowledge regarding QUERI implementation interventions,

ii) Shares knowledge regarding the VA system, and

iii) Shares knowledge regarding change processes.

   c) Structures and leads regular communication across study sites regarding, e.g.:

i) Status of implementation efforts,

ii) Successful problem solving approaches for various issues, and

iii) Similar roles and problems.

   d) Establishes linkages for ICA problem-related actions:

i) Helps them frame questions to ask of key resources.

   e) Intercedes with VA leadership (internal or external) on behalf of ICA.

2) Formative use of data activities/behaviors

i) Reviews diagnostic information in order to understand the local context.

ii) Monitors/tracks and uses progress data:

(1) For example, regarding goals and both intermediate and end result outcomes.

iii) Monitors/tracks and uses problem data:

(1) For example, regarding issues/barriers.

iv) Monitors ICA activities to know what is happening:

(1) Monitors use of new solutions for site problems, and

(2) Identifies needs and issues of an ICA.

v) Monitors and uses data re: the value of and need for external facilitation.