Table 1 Final ORI typology
ORI-1 Pre-contemplation | ORI-2 Contemplation | ORI-3 Preparation | |
|---|---|---|---|
Unique to this stage 1. Develop educational materials Overlap with ORI-2 2. Conduct local consensus discussions 3. Conduct local needs assessment 4. Inform local opinion leaders Overlap across all stages 5. Conduct educational meetings | Unique to this stage 1. Assess for readiness and identify barriers and facilitators 2. Conduct educational outreach visits 3. Fund and contract for clinical innovation 4. Identify and prepare champions 5. Identify early adopters 6. Visit other sites Overlap with ORI-1 7. Conduct local consensus discussions 8. Conduct local needs assessment 9. Inform local opinion leaders Overlap with ORI-3 10. Access new funding 11. Alter incentive/allowance structures 12. Build a coalition 13. Promote adaptability 14. Recruit, designate, and train for leadership 15. Shadow other experts 16. Use advisory boards and workgroups 17. Use an implementation adviser Overlap across all stages 18. Conduct educational meetings | Unique to this stage 1. Centralize technical assistance 2. Change accreditation or membership requirements 3. Change physical structure and equipment 4. Change record system 5. Create new clinical teams 6. Create or change credentialing and/or licensure standards 7. Develop a formal implementation blueprint 8. Develop an implementation glossary 9. Develop and implement tools for quality monitoring 10. Develop and organize quality monitoring systems 11. Develop disincentives 12. Develop resource sharing agreements 13. Distribute educational materials 14. Involve patients/consumers and family members 15. Make billing easier 16. Make training dynamic 17. Model and simulate change 18. Obtain formal commitments 19. Place innovation on fee for service lists/formularies | 20. Prepare patients/consumers to be active participants 21. Promote network weaving 22. Revise professional roles 23. Stage implementation scale up 24. Tailor strategies 25. Use data experts 26. Use data warehousing techniques 27. Use train the trainer strategies 28. Work with educational institutions Overlap with ORI-2 29. Access new funding 30. Alter incentive/allowance structures 31. Alter patient/consumer fees 32. Build a coalition 33. Promote adaptability 34. Recruit, designate, and train for leadership 35. Shadow other experts 36. Use advisory boards and workgroups 37. Use an implementation adviser Overlap across all stages 38. Conduct educational meetings |