|Application to the communication navigator program|
|Provide local technical assistance||
Engage health information technology experts to assist if needed with communication resources.|
Enlist language services to provide support as needed.
|Audit and provide feedback||
Collect data and provide feedback to navigators and ICU clinicians on outcomes associated with the program including family experiences and outcomes.|
Regular debriefing meetings to enable identification and tackling of implementation challenges.
|Develop educational materials/create online learning communities||Create educational resources and make them available for access online; documents amenable to continuous update as new knowledge and operations are available.|
|Conduct ongoing training||Navigators meet with a leader weekly to review cases and ensure procedures are being followed.|
|Promote adaptability||Clarify ways the navigator role can be tailored to meet individual needs and specify which elements of the innovation must be maintained to preserve fidelity.|
|Assess and redesign workflow||Monitor progress and adjust operational processes to continuously improve the efficiency and impact of the program. For example, we created an electronic health record note template to standardize information exchange (Supplemental File).|
|Identify and prepare champion||Reach out to respondents’ recommended champions and engage them with the program|
|Engage community resources||Organize community resources such as free phone and Internet access from local providers.|