Site ID
| | | | |
I. INTERVENTION CHARACTERISTICS
|
200
|
500
|
100
|
300
|
400
| |
Intervention Sourcea
|
E
|
E
|
E
|
E
|
I
| |
Evidence Strength and Quality
|
-2
|
+1
|
+1
|
+2
|
+1
| |
Relative Advantage
|
-2
|
+1
|
+1
|
+2
|
+2
|
**
|
Adaptability
|
-2
|
+2
|
+2
|
+2
|
+2
| |
Trialability
|
0
|
0
|
+1
|
+1
|
0
| |
Complexity (reverse rated)
|
Missing
|
-2
|
-2
|
-2
|
+2
| |
Design Quality and Packaging
|
-2
|
+2
|
+1
|
+1
|
+1
| |
Cost
|
0
|
0
|
0
|
0
|
0
| |
II. OUTER SETTING
| | | | |
Patient Needs and Resources
|
-2
|
0 (mixed)
|
+1
|
+2
|
+2
|
**
|
Cosmopolitanism
|
0
|
0
|
+1
|
0
|
0
| |
Peer Pressure
|
0
|
0
|
0
|
0
|
0
| |
External Policy and Incentives
|
-1
|
-2
|
N/A
|
0
|
+1
|
*
|
III. INNER SETTING
| | | | |
Structural Characteristics
|
Missing
|
Missing
|
Missing
|
Missing
|
Missing
| |
Networks and Communications
|
-2
|
-2
|
+1
|
+2
|
+2
|
**
|
Culture
|
Missing
|
Missing
|
Missing
|
Missing
|
Missing
| |
Implementation Climate
| | | | |
Tension for change
|
0
|
0
|
+2
|
+1
|
+1
|
**
|
Compatibility
|
-2
|
+1
|
0
|
+1
|
+2
| |
Relative priority
|
-1
|
-2
|
-2
|
+1
|
+2
|
**
|
Organizational Incentives and Rewards
|
+0
|
-1
|
0
|
0
|
+1
| |
Goals and Feedback
|
-2
|
-1
|
+1
|
+1
|
+2
|
**
|
Learning climate
|
Missing
|
-1
|
Missing
|
+1
|
+2
|
**
|
Readiness for Implementation
| | | | |
Leadership Engagement
|
-2
|
-1
|
+2
|
+2
|
+2
|
**
|
Available resources
|
-2
|
-2
|
-1
|
+1
|
-1
|
*
|
Access to knowledge and information
|
-1
|
Missing
|
Missing
|
+1
|
-1
| |
V. PROCESS
| | | | |
Planning
|
-1
|
Missing
|
+1
|
+1
|
+1
|
**
|
Engaging
| | | | | | |
Opinion Leaders
|
Missing
|
Missing
|
Missing
|
Missing
|
Missing
| |
Formally Appointed Internal Implementation Leaders
|
-1
|
+2
|
+2
|
+2
|
+2
| |
Overall Championing
|
-1
|
+2
|
+2
|
+1
|
+2
| |
Physician Champion
|
-2
|
+2
|
0
|
+1
|
+2
| |
Other Champions
| | |
+2
|
+2
| | |
External Change Agents
|
0
|
0
|
0
|
0
|
0
| |
Executing
|
N/A
|
N/A
|
N/A
|
N/A
|
N/A
| |
Reflecting and Evaluating
|
-1
|
-2
|
+1
|
+1
|
+2
|
**
|