| Phase 1 Single site pilot | Phase 2 Small-scale, multi-site implementation trial | Phase 3 Large-scale, multi-region implementation trial | Phase 4 System wide roll-out |
---|---|---|---|---|
Step 1 Select disease/conditions/patient populations | Goetz et al. Implementing and evaluating a regional strategy to improve testing rates in VA patients for HIV [15] Krein et al. Improving eye care for veterans with diabetes [14] Smith et al. Developing a national dissemination plan for collaborative care for depression [12] | Â | Â | Â |
Step 2 Identify evidence based guidelines | Goetz et al. Implementing and evaluating a regional strategy to improve testing rates in VA patients for HIV [15] Krein et al. Improving eye care for veterans with diabetes [14] Smith et al. Developing a national dissemination plan for collaborative care for depression [12] | Â | Â | Â |
Step 3 Measure and diagnose quality/performance gaps | Goetz et al. Implementing and evaluating a regional strategy to improve testing rates in VA patients for HIV [15] Krein et al. Improving eye care for veterans with diabetes [14] Smith et al. Developing a national dissemination plan for collaborative care for depression [12] | Â | Â | Â |
Step 4 Implement improvement program | Brown et al. EQUIP: Implementing chronic care principles for improved care for schizophrenia [16] Goetz et al. Implementing and evaluating a regional strategy to improve testing rates in VA patients for HIV [15] Krein et al. Improving eye care for veterans with diabetes [14] Smith et al. Developing a national dissemination plan for collaborative care for depression [12] | Brown et al. EQUIP: Implementing chronic care principles for improved care for schizophrenia [16] Wallace and Legro. Project to increase vaccination rates in high risk veterans [9] Sales et al. Implementing electronic clinical reminders for lipid management for patients with ischemic heart disease [17] *Curran et al. A process for developing an implementation intervention [10] *Bowman et al. Measuring persistence of implementation [7] | Â | Smith et al. Developing a national dissemination plan for collaborative care for depression [12] |
Step 5 Assess improvement program feasibility, implementation, impacts on patients, family, system outcomes | Krein et al. Improving eye care for veterans with diabetes [14] | Brown et al. EQUIP: Implementing chronic care principles for improved care for schizophrenia[16] Wallace and Legro. Project to increase vaccination rates in high-risk veterans [9] Sales et al. Implementing electronic clinical reminders for lipid management for patients with ischemic heart disease [17] | Â | Smith et al. Developing a national dissemination plan for collaborative care for depression [12] |
Step 6 Assess improvement program impact on HRQoL | Â | Â | Â | Smith et al. Developing a national dissemination plan for collaborative care for depression [12] |