Table 2.

Mapping GTO to the anticipated steps of GTI

GTO steps	GTI steps	Core-embedded implementation strategies
1. Problem identification 2. Identify goals and desired outcomes	1. Identify gaps and goals 2. Assess facilitators and barriers to implementation	• Develop an interdisciplinary team • Designate implementation leaders • Engage leadership • Conduct consensus discussions
3. Find existing programs or best practices worth adopting	3. Choose implementation strategies	• Identify barriers and facilitators
4. Modify the program or practices to fit your needs 5. Assess capacity to implement the program	4. Adapt strategies and address readiness	• Tailor strategies
6. Make a plan for getting started	5. Plan implementation	• Develop an implementation blueprint
7. Track planning and implementation 8. Evaluate the program’s success	6. Implement and evaluate	• Use data to inform implementation changes • Audit and feedback
9. Continuous quality improvement	7. Improve implementation	• Use data warehousing • Develop quality monitoring systems • Conduct small tests of change • Share lessons learned
10. Sustainment	8. Sustain implementation	• Identify champions