Week 5: Implementation Strategies Flashcards
Methods or techniques used to enhance the adoption, implementation, and sustainability of a clinical program, practice, or intervention.
Implementation Strategies
Types of Implementation Strategies
1) Discrete or Single Implementation Strategy
2) Multifaceted Implementation Strategy
Involves a single action or process. Example: Reminders to prompt the use of an intervention.
Challenge: Due to the numerous challenges and barriers involved in implementing new practices, a single strategy is often insufficient.
Discrete/Single Implementation Strategy
Is a research project aimed at addressing the challenges associated with identifying and selecting appropriate implementation strategies in healthcare.
Expert Recommendations for Implementing Change (ERIC) Study
They have unparalleled importance in implementation science.
It targets barriers and leveragesT facilitators to implementation.
Implementation Strategies
Used a Delphi process with a panel of experts to reach consensus on the strategies and definitions which resulted in a compilation of 73 discrete implementation strategies with clear labels and detailed definitions.
Expert Recommendations for Implementing Change (ERIC)
Involves the use of two or more discrete strategies.
Can address barriers at different levels, such as patient, provider, and organizational levels.
Example: Creating reminders and developing educational materials.
Multifaceted Implementation Strategy
Why was the ERIC study developed?
To address two major limitations:
- Lack of conceptual clarity: Terms and definitions are often used inconsistently, making it difficult to understand and compare strategies.
- Insufficient guidance: There’s limited guidance on how to choose the best strategies for a given situation.
Was identified as a discrete implementation strategy.
The action of collecting and summarising clinical performance data over a specified time period and giving it to clinicians and administrators to monitor, evaluate, and modify provider behavior’.
Audit and Provide Feedback Strategy (one of the 73 strategies from ERIC)
Is a structured technique for gathering and synthesizing expert opinions on a particular topic.
Delphi Process
Flexibility: The compilation is meant to provide a range of options, not a rigid list of requirements.
Tailoring: Researchers and practitioners should select strategies based on their specific needs and context.
The ERIC Compilation (a tool/list, not a checklist)
9 Categories of the 73 Implementation Strategies (ERIC)
1) Evaluative and Integrative Strategies (10)
2) Provide Interactive Assistance (4)
3) Adapt and Tailor to Context (4)
4) Develop Stakeholder Interrelationships (17)
5) Train and Educate Stakeholders (11)
6) Supporting Clinicians (5)
7) Engage Consumers (5)
8) Utilize Financial Strategies (9)
9) Change Infrastructure (8)
Providing clinicians with ongoing supervision, focusing on the innovation; provide training for clinical supervisors, who will supervise clinicians who provide the innovation.
Example: Provide clinical supervision
Provide Interactive Assistance (4)
Assessing various aspects of an organization to determine its degree of readiness to implement, barriers that may impede implementation, and strengths that can be used in the implementation effort.
Example: Assess for readiness and identify barriers and facilitators
Evaluative and Integrative Strategies (10 items)
Identifying the ways, a clinical innovation can be tailored to meet local needs and clarify which elements of the innovation must be maintained to preserve fidelity.
Example: Promote adaptability
Adapt and Tailor to Context (4)
