Implementation strategy | Description |
---|---|
Development | |
Clinician involvement | Utilization of individuals from all relevant professional groups [24, 33]. |
Evidence based interventions | Development which emphasises the importance of linking recommendations to the scientific research that supports them, identified through rigorous systematic identification and appraisal of all relevant research [24, 33]. |
Local consensus processes | Inclusion of participating providers in discussion to ensure that they agree that the chosen clinical problem is important and the approach to managing the problem is appropriate [34]. |
Analysis and Implementation Planning | |
Implementation team | Utilization of a multidisciplinary change team. This team should include representation from three different leadership levels: Senior Leadership, Clinical/Technical Expertise, and Front-line Leadership [24, 34]. |
Identification of potential barriers to change | Strategies to improve professional practice taking into account prospectively identified barriers to change [24, 35, 36]. |
Identification of practice gaps | Collection and analysis of data related to the need for the innovation; this assessment is used for: the description of usual care and its distance from evidence based care, outcomes of usual care, opinions from stakeholders on the needs for an innovation, and/or special considerations for delivering the innovation in the local context [24, 36]. |
Education | |
Local opinion leaders | The use of providers nominated by their colleagues as educationally influential [24, 33, 35]. |
Educational meetings | The participation of healthcare providers in conferences, lectures, workshops or traineeships [35]. |
Educational outreach | The use of a trained individual who meets with providers in their practice settings to give information with the intent of changing the providers’ practice [34, 35]. |
Printed educational materials | The distribution of published or printed recommendations for clinical care, including clinical practice guidelines, audio-visual materials and electronic publications [34, 35]. |
Systems | |
Audit and feedback | Any summary of clinical performance of healthcare over a specified period, which is intended to change health professional behaviour. Indexed by objectively measured professional practice or healthcare outcomes [24, 35]. |
Reminders | Patient or encounter specific information, provided verbally, on paper or digitally. This information is intended to prompt a health professional to recall information [24, 34, 35]. |