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. 2018 Aug 15;7(8):e11262. doi: 10.2196/11262

Table 1.

Implementation plan activities and associated deliverables/outcomes.

Aim and activity Deliverable/outcome
Preimplementation

Aims 1-3


Communicate the plan and begin process with PACTa members
  • Investment across PACT/stakeholder groups

  • Shared norms and expectations



Include all representative groups in the planning process to get input
  • Investment across stakeholder groups

  • Input from PACT/stakeholder groups



Ensure strategies/goals are aligned with organizational & stakeholder goals
  • Investment across stakeholder groups

  • Aligned strategies reflecting Diffusion of Innovations/PARiHSb constructs



Engage PACT leadership, consultants, and champions
  • Investment across stakeholder groups

  • Setting expectation of organizational investment


Aim 1


Conduct focus groups, follow-up interviews, and analysis
  • Data synthesis to inform implementation strategy development



Set goal and strategy planning on timeline with PACT clinical partners
  • Implementation timeline aligned with expectations

  • Matrix product that illustrates each audience, targeted strategies, with start date and duration



Identify and train facilitators to identify champions to support strategy delivery
  • Points of contact designated

  • Complete facilitator training for implementation



Reiterate key measures and clear expectations
  • Planned outcomes data elements with stakeholders

  • Align outcomes that reflect constructs and HITc use



Plan visibility, integrated into regular activities
  • Integrate strategies with PACT activities (eg, staff meetings/professional development time)



Address implementation program management needs with PACT
  • Action plan for activities, identify points of contact, deadlines, intermediate accomplishments, etc


Aim 2


Conduct expert interviews and environmental scan
  • Collection of expert informant data and existing HIT implementation content and determination of need



Implementation strategy development
  • Adaptation/development of strategies and content based on identified needs



PACT member panel evaluation
  • Evaluation and revision of strategies and materials needed for implementation

Implementation

Aims 1-3


Prepare PACT members/stakeholders for implementation
  • Awareness of implementation activities

  • Readiness across PACT/stakeholder groups


Aim 3


Schedule implementation activities that align with PACT needs
  • Confirmed awareness of forthcoming implementation activities and readiness across PACT/stakeholders



Conduct implementation activities that represent PACT needs
  • Primary pretest data collection to measure use of HIT and reflect implementation strategies



Collect primary qualitative and secondary quantitative data
  • Implementation strategy feedback summary

  • HIT use dataset



Conduct follow-up with PACT members, other stakeholders (operational partners)
  • Primary posttest and secondary data collection

  • Follow-up communication with PACT members, other stakeholders

Postimplementation

Aim 3


Track implementation activities and outcomes and summarize progression of HIT use
  • Continue efforts on implementing initiatives

  • Progress documented for continued efforts

  • Continued use of community-based participatory research with PACT



Recognize interim accomplishments and progress with PACT
  • Document and recognize accomplishments and milestones during implementation



Conduct data analysis with invested PACT and stakeholders
  • Complete analysis of data with partnered input with PACT consultants and members



Monitor & document lessons learned in efforts to increase HIT use with PACT members
  • Document lessons learned, approaches that work, those that need refinement, and adapt for future implementation in efforts



Share study findings to PACT and stakeholder as recommended by feedback
  • Dissemination efforts supported by PACT member input to key audiences

  • Reporting reflects pre-post measure changes

aPACT: Patient-Aligned Care Team.

bPARiHS: Promoting Action on Research Implementation in Health Services.

cHIT: health information technology.