The Science and Practice of Implementation : Are We headed Down the Right Path?

1. The Science and Practice of Implementation : Are We headed Down the Right Path? 10th Biennial Regenstrief Conference Emerging Perspectives on Transformational Change in Healthcare Systems October 2 – October 4, 2007. Jeff Alexander, Ph.D. Department of Health Management and Policy University of Michigan School of Public Health

5. BEYOND THE LINEAR MODEL Basic Research Clinical Trial (Efficacy) Treatment Development Effectiveness Trial Treatment Deployment

11. Klein and Sora Model Management Support : Management communicates a rationale and priority Implementation Effectiveness : Consistency and quality of innovation use Innovation-Values Fit : The perceived fit between the end-user's values and the innovation Champion(s) : Champion(s) promotes the innovation with targeted org members and/or management Financial Resource Availability : Resources are made available to support implementation policies and practices Implementation Climate : The innovation is perceived as an organizational priority by targeted end users Implementation Policies and Practices : Formal organizational actions ensure user skills, create incentives and/or identify and address barriers to use

20. Life Cycle of Quality Improvement