Domain | Organization readiness | Build IF coalition | IF training | Clinician training | Clinical teams | EF centralize oversight | Audit and feedback implementation intervention fidelity |
---|---|---|---|---|---|---|---|
Definition | Aspects of an organization determine readiness to implement | IFs coalition to share implementation knowledge | Dynamic interactive training via varying learning methods and supervision focused on implementation | Training to conduct intervention | Develop/implement teams of clinicians who meet, reflect, and share learnings | Makes things easier for others: support to change attitudes, habits, skills, way of thinking and working | Collect and summarize clinical performance and monitor, evaluate, and modify clinician behavior |
Actors | PI, PM, waiver clinician | IF, research team | Research team for IF | IF for clinicians | IF, clinicians | EF | PI, PM, IF, EF |
Actions | Administer tools, analyze results | Online Bb forum to build capacity, share best implementation strategies | Identify and train train-the-trainers/IF | Train clinicians, post-test, remediate | IF leads interdisciplinary coordination, feedback on implementation/intervention | Assistance to IF (arm 2) | Monitor Bb and EHR, SIC (scorecard) |
Target of action | Site | IFs | IFs | Clinicians | Clinicians | IF | Clinicians |
Temporality | Before implementation | When starting implementation | 1 month after implement | 1 week after intervention and ongoing | |||
Dose | Surveys completed baseline | 1 h discussion monthly | 1.5 h Bb online training; remediate prn | 5.5 h online Bb training | Meet 15 min per month per beneficiary cared for | Weekly for 30 min to 1  h until issues resolved | Weekly results to scorecard in Bb and IF reviews with clinicians, EF reviews with IF |
Outcomes affected | Acceptability, readiness | Acceptability | Adoption, sustainability | Adoption, sustainability | Adoption, sustainability, outcomes |