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. 2020 Jun 23;20:573. doi: 10.1186/s12913-020-05354-8

Table 2.

Summary of Each Implementation Project

Project Problem Innovation Facilitation Recipients Context
1 BHIP Limited delivery of anticipatory, patient-centred, and coordinated outpatient mental health care. Collaborative Chronic Care Model (CCM) for interdisciplinary team-based care in general mental health clinic settings. Internal-external model of facilitation adapted from Kirchner et al. (2014) and based on i-PARIHS Interdisciplinary general mental health care team members (e.g. clerk, nurse, psychiatrist, psychologist, social worker) at nine U.S. Department of Veterans Affairs (VA) medical centres. Outpatient mental health care setting
Outer context
In 2013, VA leadership launched a nationwide initiative to establish interdisciplinary teams in each VA medical centre throughout the United States. In 2015, the VA adopted the CCM and partnered with the study team to develop CCM implementation support.
Inner context
The inner context varied by medical centre.
2 CHERISH High prevalence of geriatric complications (e.g. delirium, functional decline) in older inpatients A multicomponent intervention to reduce complications and improve outcomes Internal-external model of facilitation based on i-PARIHS Interdisciplinary acute care team members (nurses, allied health professionals, medical staff) Acute care setting
Outer context
New national standard on comprehensive care and delirium clinical care standard created an impetus for improving care of older patients.
Inner context
The inner context varied by hospital and ward.
3 SIMPLE Suboptimal and inefficient management of malnutrition in hospitals Systematised Interdisciplinary Malnutrition Program Implementation and Evaluation – for enabling a system and team approach to better management of malnutrition Internal-external model of facilitation based on i-PARIHS Multidisciplinary teams and dietetics departments in six publicly funded hospitals in Australia Acute care setting
Outer context
State-wide roll-out of electronic medical
records exposed gaps in systems of malnutrition care and unsustainable demand on dietetics services.
Inner context
The inner context varied by hospital, ward and dietetics department.
4 REACH Inconsistent cleaning practices in hospitals despite detailed cleaning guidelines An environmental cleaning bundle – a bundle of evidence-based practices to improve cleaning performance and reduce infections External facilitation with local champions Environmental services staff members employed in a role that included ward cleaning across 11 hospitals (public and private) in Australia. Acute care setting
Outer context
National accreditation requirements and infection control guidelines required hospitals to have a comprehensive cleaning program.
Inner context
The inner context varied by ward.