Table 2.

ERIC Implementation strategies by cluster with project-specific emphasis.

Implementation strategy cluster name	Implementation strategies
Use and evaluate iterative strategies	Asses for readiness and identify barriers and facilitators; Audit and provide feedback; Purposefully reexamine the implementation; Develop and implement tools for quality monitoring; Develop and organize quality monitoring systems; Develop a formal implementation blueprint; Conduct a local need assessment; Stage implementation scale up; Obtain and use patients/consumers and family feedback; Conduct cyclical small tests of change
Provide interactive assistance	Facilitation; Provide local technical assistance; Provide clinical supervision; Centralize technical assistance; Provide clinical supervision; Centralize technical assistance
Adapt and tailor to context	Tailor strategies; Promote adaptability; Use data experts; Use data warehousing techniques
Develop stakeholder interrelationships	Identify and prepare champions; Organize clinician implementation team meetings; Recruit, designate, and train for leadership; Inform local opinion leaders; Build a coalition; Obtain formal commitments; Identify early adopters; Conduct local consensus discussions; Capture and share local knowledge; Use advisory boards and workgroups; Use an implementation advisor; Model and simulate change; Visit other sites; Involve executive boards; Develop an implementation glossary; Develop academic partnerships; Promote network weaving
Train and educate stakeholders	Conduct ongoing training; Provide ongoing consultation; Develop educational materials; Make training dynamic; Distribute educational materials; Use train the trainer strategies; Conduct educational meetings; Conduct educational outreach visits; Create a learning collaborative; Shadow other experts; Work with educational institutions
Support clinicians	Facilitate relay of clinical data to providers; Remind clinicians; Develop resource sharing agreements; Revise professional roles; Create new clinical teams
Engage consumers	Involve parents/consumers and family members; Intervene with patients/consumers to enhance uptake and adherence; Prepare patients/consumers to be active participants; Increase demand; Use mass media
Utilize financial strategies	Fund and contract for the clinical innovation; Access new funding; Place innovation on fee for service lists/formularies; Alter incentive/allowance structures; Make billing easier; Alter patient/consumer fees; Use other payment schemes; Develop disincentives; Used capitated payments
Change infrastructure	Mandate change; Change record systems; Change physical structure and equipment; Create or change credentialing and/or licensure standards; Change service sites; Change accreditation or membership requirements; Start a dissemination organization; Change liability laws

Adapted and cited from (25).