From: Evaluating blinatumomab implementation in low- and middle-income countries: a study protocol
Pre-implementation | Active implementation | Post-implementation | ||
---|---|---|---|---|
Phase 1: Establishing partnerships | Phase 2: Collecting baseline data and planning | Phase 3: Implementing evidence-based strategies | Phase 4: Supporting and monitoring implementation | Phase 5: Sustainability and maintenance |
1. Obtain formal commitments 2 .Develop resource sharing agreements 3. Use advisory boards and workgroups 4. Work with educational institution 5. Develop academic partnerships 6. Access new funding 7. Conduct local consensus discussion 8. Identify and prepare champions | 1. Conduct local needs assessment 2. Assess for readiness and identify barriers and facilitators 3. Organize clinician implementation teams | 1. Develop educational materials 2. Conduct educational meetings 3. Distribute educational materials 4. Provide local technical assistance 5. Provide ongoing consultation 6. Develop and implement tools for quality monitoring 7. Remind clinicians | 1. Facilitation 2. Use an implementation adviser 3. Purposely re-examine the implementation 4. Promote adaptability 5. Promote network weaving 6. Tailor strategies 7. Capture and share local knowledge 8. Audit and provide feedback 9. Obtain and use patient/consumers and family feedback | 1. Develop a formal implementation blueprint 2. Make training dynamic 3. Use train the trainer 4. Stage implementation scale up 5. Use data experts 6. Visit other sites |