Table.

Key Elements of the Collaboration between Health Care Stakeholders and Researchers for Implementation of Evidence Based Practices

	Clinic Stakeholders	Researchers
Implementation (CFIR)^a
Outer Setting
External Policy and Incentives	HEDIS measures tracked. Specific goals.	Externally funded study
Internal Setting
Structural Characteristics	Robust data systems	Programmer who worked with delivery system and research
Culture	Prevention and population care valued
Implementation Climate	Clinics have autonomy to try things and the organization encourages innovation.	Researchers had experience implementing the program
Leadership engagement	Clinical operations chief sponsored and clinic operations manager supervised	Grant funder approved additional project
Relative Priority	Provider’s premature death increased importance of project
Individuals	Clinical champion with interest in the project	Investigator with interest in the project
Intervention Characteristics
Simplicity	Could be put in place quickly	Could be put in place quickly
Packaging	Materials available already (FIT kits, pre-stamped envelopes, bulk ordering, lab)	Materials tested and available to the public in general^b
Relative advantage	Clinicians and staff activities were not interrupted	Staffing in place to do the project
Adaptability	Clinic could make choices about some components while maintaining fidelity
Process
Planning	Minimal number of meetings needed	Expertise to help with planning
Engaging	Collaboration	Collaboration
Executing	Timeline in place, provision of materials	Assistance, use of a mailing vendor
Evaluating and Reflecting	Reviewed outcomes and made mid-point adjustments	Provided results and interpretation
Outcomes (IHI)^c
Improving the health of populations	Increased CRC screening adherence. Finding CRC early when it is most treatable	Research-tested intervention.
Improving the patient experience	Convenient for patients	Prior research demonstrated that patients like the convenience of home testing
Reducing the per capita cost of health (affordability)	Low cost project	Prior research demonstrated that mailing fecal tests was cost saving

CFIR = Consolidated Framework for Implementation Research http://www.cfirguide.org/constructs.html; representative constructs chosen.

Research-Tested Intervention Programs (RTIPs) https://rtips.cancer.gov/rtips/programDetails.do?programId=22691890

The Institute for Healthcare Improvement Triple Aims. http://www.ihi.org/engage/initiatives/tripleaim/pages/default.aspx