Table 1.

Implementation Approach in PPC

Implementation strategy	Description	Implementation Approach
Plan	Assess readiness, identify barriers, build relationships	• Developed relationships of study team and PPC team (written communications and face-to-face meetings) • Reviewed workflow and organizational climate • Developed tailored implementation strategy based on agreement from study and PPC teams • Identified potential barriers to implementation and tailored strategies to overcome barriers and honor PPC site preferences • Identified and prepared champions (1 provider per site) • Develop staff and provider training materials
Educate	Informing stakeholders of implementation initiative	• Conducted educational sessions for staff, providers, and administration on implementation activities
Finance	Incentives	• Provided snacks at educational sessions and periodically through implementation period as thank you for participation.
Restructure	Alterations in roles, structures, and data systems	• One site adapted the electronic Health Record (EHR) where providers could select if they implemented the study introduction, the remaining sites used a paper tracking system to monitor implementation.
Quality Management	Audit and provide feedback	• Collected monthly performance data (see RE-AIM measures) and provided reports to PPC providers and staff via email updates. Used this feedback to provide reminders and clarify messaging and adjust implementation procedures as needed.