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Table 1 Implementation strategies: key activities by phase

From: Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) 2.0 QUERI: study protocol for a cluster-randomized hybrid type 3 effectiveness-implementation trial

 

Years 1-2.5

Years 2.5-4

Year 5

QUERI Roadmap

Pre-implementation

Identify problem & solution

Engage stakeholders

Develop measures and data

Implementation

Implement an intervention

Activate implementation teams

Monitor implementation progress

Sustainment

Sustain an intervention

Transition ownership to stakeholders

Ongoing evaluation and reflection

REP

Pre-conditions

Pre-implementation

Implementation

Maintenance and evolution

Ensure fit, identify barriers, draft intervention package

Develop package, pilot test, identify champion, hold orientation meetings

Train staff, provide TA, conduct evaluation, measure fidelity, measure outcomes, share results, discuss sustainability

Change practice to facilitate long-term adoption, prepare package for dissemination, recustomize delivery

EBQI

Regional stakeholder planning meetings, formative evaluation

Train local QI champions and team members

Provide practice facilitation, expert review and feedback, monthly across-site calls, technical workgroups, formative evaluation

Foster regional spread, summative evaluation