Table 3:

Three-month post-symposium survey: short-term spread outcomes

Question	Response
Innovators (n = 21 respondents)
How have your post-symposium follow-ups been going?	Followed up (62%, 13/21) Ongoing conversations with teams, but no concrete spread yet Followed up by email, but no important conversations ensued Strategically managing spread with selective follow-ups Implementation to start soon in several interested clinics Have provided early implementation support (e.g., training, information, shared tools) Created LinkedIn group with interested clinical leads and Dragon-Facilitators to discuss further Did not follow up (38%, 8/21) No follow-up, but plan to follow up soon No follow-up planned (e.g., lack of time, insufficient resources)
What have your successes been to date?	Resources and partners Applied for or obtained new research funding Strong stakeholder engagement Collaboration with Dragon-Facilitators and new partners Established committee to support innovation spread Additional teams have expressed interest post-symposium Innovation spread Shared innovation tools (e.g., 42% increased use of online tool since symposium) Initiated innovation implementation in new contexts (e.g., training, planning)
What barriers have you faced?	Barriers related to the innovation Lack of funding, resources and time to follow up Staff turnover in innovation team Insufficient capacity to meet the demand of all interested parties Further innovation development required before spread Barriers related to the clinical leads and Dragon-Facilitators Clinical leads and Dragon-Facilitators were only moderately interested Change fatigue because of ongoing health system transformation