Table 4.

Results of CFIR-ERIC matching tool and feasibility and importance ranking from the literature

ERIC Cluster and Strategy	Cumulative Endorsement Percentage	Level 1 and 2 Endorsed CFIR Barriers	Go-Zone Quadrant
Develop Stakeholder Interrelationships
Identify and prepare champions	418%	Evidence strength & quality Relative advantage Adaptability Complexity Structural characteristics Compatibility Knowledge & beliefs Opinion leaders Key stakeholders Patients/consumers	I
Build a coalition	286%	Cosmopolitanism Structural characteristics Compatibility Opinion leaders Key stakeholders	I
Conduct local consensus discussions	352%	Evidence strength & quality Relative advantage Adaptability Patient needs & resources Compatibility Relative priority Opinion leaders Key stakeholders	I
Inform local opinion leaders	259%	Evidence strength & quality Relative advantage Knowledge & beliefs Opinion leaders Key stakeholders	I
Capture and share local knowledge	264%	Evidence strength & quality Adaptability Complexity Cosmopolitanism Structural characteristics Available resources Knowledge & beliefs	I
Identify early adopters	215%	Evidence strength & quality Adaptability Complexity Structural characteristics Knowledge & beliefs Opinion leaders	I
Use advisory boards and workgroups	182%	Patient needs & resources Cosmopolitanism Key stakeholders Patients/consumers	I
Promote network weaving	148%	Cosmopolitanism Structural characteristics	III
Visit other sites	145%	Relative advantage Cosmopolitanism	II
Involve executive boards	122%	Cosmopolitanism Key stakeholders	II
Develop academic partnerships	116%	Evidence strength & quality Cosmopolitanism	II
Recruit, designate, and train for leadership	109%	Opinion leaders	IV
Model and simulate change	108%	Complexity	II
Organize clinician implementation team meetings	96%	Complexity	I
Use an implementation advisor	95%	None	I
Obtain formal commitments	75%	None	IV
Use Evaluative and Iterative Strategies
Assess for readiness and identify barriers and facilitators	351%	Relative advantage Adaptability Complexity Patient needs & resources Structural characteristics Compatibility Relative priority Knowledge & beliefs Key stakeholders	I
Conduct local needs assessment	293%	Relative advantage Adaptability Patient needs & resources Compatibility Relative priority Knowledge & beliefs Key stakeholders	I
Conduct cyclical small tests of change	210%	Relative advantage Adaptability Complexity Structural characteristics Compatibility	I
Obtain and use patients/consumers and family feedback	187%	Patient needs & resources Patients/consumers	I
Develop a formal implementation blueprint	124%	Complexity	I
Stage implementation scale up	111%	Complexity Available resources	I
Purposefully re-examine the implementation	101%	Compatibility	I
Audit and provide feedback	86%	None	I
Develop and implement tools for quality monitoring	53%	None	I
Develop and organize quality monitoring systems	45%	None	I
Train and Educate Stakeholders
Conduct educational meetings	263%	Evidence strength & quality Relative advantage Knowledge & beliefs Opinion leaders Key stakeholders	I
Create a learning collaborative	219%	Adaptability Complexity Cosmopolitanism Key stakeholders	II
Conduct educational outreach visits	169%	Evidence strength & quality Cosmopolitanism Knowledge & beliefs	II
Develop educational materials	177%	Evidence strength & quality Knowledge & beliefs Patients/consumers	I
Distribute educational materials	110%	Evidence strength & quality	I
Provide ongoing consultation	92%	Complexity	I
Conduct ongoing training	75%	Complexity	I
Work with educational institutions	59%	None	II
Use train-the-trainer strategies	56%	None	I
Shadow other experts	44%	None	II
Make training dynamic	40%	None	I
Adapt and Tailor to Context
Promote adaptability	285%	Relative advantage Adaptability Complexity Structural characteristics Compatibility	I
Tailor strategies	223%	Adaptability Complexity Compatibility	I
Use data experts	46%	None	III
Provide Interactive Assistance
Facilitation	173%	Adaptability Complexity Compatibility Knowledge & beliefs	I
Provide local technical assistance	72%	None	IV
Centralize technical assistance	36%	None	III
Support Clinicians
Develop resource sharing agreements	80%	Cosmopolitanism Available resources	III
Facilitate relay of clinical data to providers	65%	None	I
Revise professional roles	48%	None	III
Create new clinical teams	40%	None	III
Engage Consumers
Involve patients/consumers and family members	236%	Patient needs & resources Opinion leaders Patients/consumers	I
Prepare patients/consumers to be active participants	118%	Patient needs & resources Patients/consumers	IV
Increase demand	115%	Relative advantage Relative priority Available resources	II
Intervene with patients/consumers to enhance uptake & adherence	106%	Patient needs & resources Patients/consumers	IV
Use mass media	90%	Patients/consumers	III
Use Financial Strategies
Alter incentive/allowance structures	179%	Relative advantage Relative priority	III
Access new funding	134%	Available resources	IV
Fund and contract for clinical innovation	103%	Available resources	IV
Alter patient/consumer fees	44%	Available resources Patients/consumers	III
Place innovation on fee for service lists/formularies	38%	None	IV
Make billing easier	32%	Available resources	III
Change Infrastructure
Change physical structure and equipment	97%	Structural characteristics Available resources	III
Mandate change	65%	Relative priority	III
Create or change credentialing and/or licensure standards	41%	None	III
Change service sites	38%	None	III
Change record systems	29%	None	III

CFIR Consolidated Framework for Implementation Research, ERIC Expert Recommendations for Implementing Change; Cumulative Endorsement Percentage, collective percentages of all endorsement across all identified CFIR barriers; Go-zone quadrant I, high importance and feasibility; Go-zone quadrant II, low importance and high feasibility; Go-zone quadrant III, low importance and feasibility; Go-zone quadrant IV, high importance and low feasibility