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Table 2 Mapping GTO to the anticipated steps of GTI

From: Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven implementation strategies to improve cirrhosis care for Veterans

GTO steps

GTI steps

Core-embedded implementation strategies

1. Problem identification

2. Identify goals and desired outcomes

1. Identify gaps and goals

2. Assess facilitators and barriers to implementation

• Develop an interdisciplinary team

• Designate implementation leaders

• Engage leadership

• Conduct consensus discussions

3. Find existing programs or best practices worth adopting

3. Choose implementation strategies

• Identify barriers and facilitators

4. Modify the program or practices to fit your needs

5. Assess capacity to implement the program

4. Adapt strategies and address readiness

• Tailor strategies

6. Make a plan for getting started

5. Plan implementation

• Develop an implementation blueprint

7. Track planning and implementation

8. Evaluate the program’s success

6. Implement and evaluate

• Use data to inform implementation changes

• Audit and feedback

9. Continuous quality improvement

7. Improve implementation

• Use data warehousing

• Develop quality monitoring systems

• Conduct small tests of change

• Share lessons learned

10. Sustainment

8. Sustain implementation

• Identify champions