Table 4.

List of facilitators and barriers.

Facilitators	Barriers
I have active support from my Agency’s administration	My agency does not have reimbursement or billing policies in place
I have an internal “champion” or key leader who is supportive of Otago	Current Medicare reimbursement practices do not support delivery of the program
My agency has enough staff member, skills, resources to support the work and phone calls	Poor patient compliance
My agency is/will be able to modify reimbursement and billing practices to fit Otago guidelines	My agency is not set up keep patients on caseload over an extended period of time
The program is low cost and does not need substantial resources to continue	My agency does not have a system for follow-up phone calls
The research data helped convince my Agency of the value	It is difficult to get weights for patients
The research data helped convince referral partners (physicians, accountable care organizations) of value	Patients will not continue with a different Part B provider
The research data and program structure helped convince me of the value	Patients unable or do not want to pay co-pays
My patients like the program	Medicare C payors will not cover Otago
The program is supported by community and state-based fall coalitions	No way to transition patient from home health to Part B
I am able to bill as a Part B provider	Agency does not have enough trained staff members, skills, resources to support the work
Other facilitators (please specify)	Agency leadership does not support the work.
	Turnover among therapists implementing Otago
	Other barriers (please specify)