Table 3 Multiple embedded strategies
Strategy (part 1) | Strategy (part 2) | Frequency of response: strategy parts “always” or “sometimes” combined | Quote |
|---|---|---|---|
Assessed consensus: keep part 1 and part 2 combined | |||
Develop quality monitoring systems | Organize quality monitoring systems | 83% | Almost always, you need to put those two together to make sure we’re doing things correctly and have a way to measure. (P02) |
Develop tools for quality monitoring | Implement tools for quality monitoring | 75% | Developing and implementing quality monitoring takes a lot of time. We were really good at implementing things people had already developed for us; less probably effective at implementing or developing tools from the ground up. So, I think we did, usually, a very good job of keeping those ideas coupled. We did not develop a lot of our own tools ourselves. (P03) |
Identify champions | Prepare champions | 75% | I definitely think we would pick someone first and then get them ready. …[S]ometimes it could take a while too, depending on who you’re dealing with. (P05) |
Obtain feedback | Use feedback | 67% | I think that that would be done together as well, because once you obtain that feedback, then you see if you can utilize it and go forward with it. (P07) |
Recruit and designate for leadership | Train for leadership | 58% | It’s sequentially: you recruit or designate them and then you have to train them. (P12) |
Assessed consensus: do not combine part 1 and part 2 | |||
Assess for readiness | Identify barriers and facilitators | 50% | I’m not sure that Part 1 is done very often. I think that strategy probably is more heavily the second part. (P13) |
Fund for the clinical innovation | Contract for the clinical innovation | 50% | Well within the VA, I’d say probably “Always,” because in order for clinical end of innovation to happen you have to have the funds in the contract to do it. (P07) |
Capture local knowledge | Share local knowledge | 42% | To capture local knowledge, you need to find out what your audience knows—this is how I interpret it. And then, Part Two, you need to share with others what the baseline knowledge is. (P14) |
Change physical structure | Change equipment | 33% | What they do is they kind of modify the clinic space and buy new stuff for the clinic space and that rarely happens–either of them. I don’t think either of those things happen very often. (P06) |
Use advisory boards | Use workgroups | 25% | Because sometimes you just need a workgroup and then sometimes you need to have advisory boards with it, so that’s a sometimes. Just depends on what you’re doing. (P07) |