Table 2 Results from Rounds 1 and 2 of the modified Delphi process
Suggested changes to strategy terms and/or definitions | Round 1 | Round 2 |
|---|---|---|
Develop a formal implementation blueprint | 2 alt | 3 alt |
Tailor strategies [to overcome barriers and honor preferences] | 1 alt | ----- |
Identify and prepare champions | 1 alt | ----- |
Involve patients/consumers and family members | 1 alt | ----- |
Provide ongoing consultation | 1 alt | ----- |
Shadow other clinicians | 2 alt | 3 alt |
Change physical structure and equipment | 1 alt | 3 alt |
Facilitate relay of clinical data to providers | 1 alt | 2 alt |
Use advisory boards and work groups | 1 alt | 4 alt |
Purposefully reexamine the implementation | 1 alt | 3 alt |
Promote adaptability | New | 1 alt |
External facilitation | New | 2 alt |
Identify early adopters | New | 1 alt |
Promote network weaving | New | ----- |
Provide local technical assistance | New | ----- |
Assess for readiness and identify barriers and facilitators | Concerns | 1 alt |
Stage implementation scale-up | Concerns | ----- |
Model and simulate change | Concerns | 2 alt |
Mandate change | Concerns | 1 alt |
Develop effective educational materials | Concerns | ----- |
Develop an implementation glossary [a glossary of implementation] | Concerns | 1 alt |
Conduct ongoing training | Concerns | ----- |
Make training dynamic | Concerns | ----- |
Conduct educational outreach visits | Concerns | ----- |
Use mass media | Concerns | ----- |
Prepare patients/consumers to be active participants | Concerns | ----- |
Develop disincentives [penalize] | Concerns | 1 alt |
Create new clinical teams | Concerns | ----- |
Start a dissemination [purveyor] organization | Concerns | 1 alt |
Develop tools for quality monitoring | Concerns | ----- |
Audit and provide feedback | Concerns | ----- |
Use data warehousing techniques | Concerns | ----- |
Use an improvement/implementation advisor | Concerns | ----- |
Change accreditation or membership requirements | Concerns | ----- |
Use data experts | ----- | 1 alt |
Use capitated payments | ----- | 1 alt |
Organize clinician implementation team meetings | ----- | 1 alt |
Intervene with patients/consumers to enhance uptake and adherence | ----- | 1 alt |
Create a learning collaborative | ----- | 1 alt |