Table 2 SITT-MAT implementation strategies
Strategy | Description |
|---|---|
Enhanced monitoring and feedback (EMF) | All participants will receive EMF initially and throughout the course of the active implementation phase of the study. EMF consists of the following:    • Performance data gathered and reported by the program for reach and adoption on a quarterly basis   • Reach, adoption, and effectiveness data summaries and IMAT results for each program, and, in comparison to the entire sample, will be reflected back to clinical leaders and staff members, via dashboards |
NIATx/MAT academy | Two-day workshop:   • Day 1 – Provide participating programs with rationale, clinical practice, and program integration with MOUD. Dr. McGovern and regional MOUD expert leader prescribers will present clinical aspects of MOUD, integrating MOUD into culture and workflow, and managing complex situations   • Day 2 – Provide participating programs with an overview of NIATx principles and tools. Dr. Ford, who has used the NIATx academy to train over 1000 individuals, will provide participants with the critical skills (e.g., building change teams, conducting walkthroughs) and tools (e.g., process flow charts, nominal group technique) needed to implement rapid cycle Plan-Do-Study-Act (PDSA) process improvement |
NIATx-internal facilitation (NIATx-IF) | Internal facilitators will receive training on how to provide coaching within their organization. For 9 months, they will do the following:   • Support teams to harness resources toward systemic change and improvement   • Employ a range of concepts and tools to provide individualized support to teams   • Help teams to practice and hone their skills to optimize performance   • Focus on team relationships and communications   • Participate in group coaching calls involving IFs from other NIATx-IF programs and moderated by NIATx expert to discuss common change-related issues, progress, and successful tactics |
NIATx-external facilitation (NIATx-EF) | For 9 months, organizations in the NIATx-EF study arm will work with one of 4 experienced consultant NIATx-external facilitators (EFs). The EF will do the following:   • Meets with clinic staff to plan change projects, review ongoing change efforts, discuss successes, and offer guidance on planning future change projects using PDSA cycles   • Makes a 1-day site visit during the 1st quarter of the implementation period   • Leads monthly 1-h phone calls |