PRISM construct | Proposed definitions |
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Program/intervention: Organizational perspective • Readiness • Addresses barriers of frontline staff • Burden (complexity & cost) • Usability and adaptability • Team sees results | • Team is ready for change • MCIS addresses barriers of staff • Burden is manageable • eScreening is usable and adaptable for the program • Team sees results |
External environment • Regulatory environment | • Mandates from TCM or other VHA program office(s) |
Implementation & sustainability infrastructure • Dedicated team • Adopter training and support • Relationship & communication with adopters • Adaptable protocols & procedures • Plan for sustainability | • There is an identified eScreening team • Team believes training and support were adequate • Team has positive relationships communication • Team feels protocols and procedures are adaptable • There is a plan for sustainment |
Recipients: Organizational characteristics • Management support & communication • Clinical leadership • Systems & training • Staffing & incentives • Expectation of sustainability | • Management is supportive of eScreening and communicate support to frontline staff • There is clear clinical leadership • Process for training is known • Staffing is adequate • There is an expectation for sustained use |