Table 3.

Implementation barriers and facilitators, organized by the i-PARIHS constructs of innovation, recipients, and context.

	Barriers	Clinic A	Clinic B	Clinic C	Facilitators	Clinic A	Clinic B	Clinic C
Innovation (degree of fit, compatibility, diffusion)	Differences in understanding of the PrEP protocol	■		■	Program fit within the organization’s goals and activities	■		■
	Reluctance to prescribe PrEP		■		Having a centralized PrEP Coordinator		■	■
Recipients (capacity, attitudes, beliefs, skills)	Staff and provider time limitations*	■	■	■	Staff and leadership support for PrEP services	■	■	■
	Staff discomfort providing PrEP counseling	■
	Staff and provider perception of patient-level barriers that need to be addressed in implementation	■	■	■
	Concern about protecting patients’ confidentiality		■
Context (organizational priorities, relationships)	Managing different and changing priorities across departments	■			Relationships with the local community	■		■
	Navigating the complex insurance landscape			■	Building from the point-of-care-testing program		■
					The ED as an access point for health care for YWOC		■

■Indicates theme was identified by clinic.

^*For clinic C, time limitation was identified as a barrier for providers only.