Table 4.

Practitioner and supervisor quotes related to theme 3.

Theme 3: Established organizational policies increase implementation opportunities	Practitioner quotes	Supervisor quotes
Clear protocols and procedures incorporating screening tool use	“I think if it was more common practice then we would be using it more commonly and maybe talking about it more commonly.” “I feel if I had more time then I would do it more often.” “I don't think it's helpful when it's not part of our Ministry-standardized system, then it feels kind of like this thing on the side. That's when people get confused about ‘when, who, how’ should it be used.”	“For each department, we're in the midst of formalizing our procedure development, so that the way in which a case is managed is consistent, department by department.” “There was just concern around the time in which the completion of an ASQ and then maybe even perhaps a DSP would take away from current responsibilities and obligations within their workload.”
Accessibility to early intervention information, tools, and best practice guidelines	“Obviously, community resources are limited and everywhere is a waiting list, but it definitely gives us an opportunity to refer kids sooner and put them on these waiting lists sooner than later and maybe hopefully they will get an actual professional service before it's too late or before it's requiring major interventions.” “I can tell you for our agency, where we have it stored. I have to log into what we call our VPN, so I have to log into that, then I have to click another thing, to get through another password, then I have to go into a separate drive, in our system, and I have to scroll and find it, and just to be honest – that is, I think, a barrier.”	“Once they’re done with the nurse practitioner I take them downstairs. I have a program room down there where I can quickly throw out a baby mat and some toys and comfortable chairs. It's a large room. Everyone can spread out. You know, parents usually feel more comfortable and the child can roam and play and be occupied.” “The other problem is that the ASQ isn't electronic and so that's really problematic because we might be able to get more referrals or information for the electronic medical record. It has to be electronic. And working remotely or, you know, virtual service delivery you need electronic tools. So that's been – that's a big barrier I would say.”