Table 1 Inner and outer setting domains of the Consolidated Framework for Implementation Research
Consolidated Framework for Implementation Research constructs | ||
|---|---|---|
Construct | Description | |
II. Inner setting | ||
 A | Networks and communications | The nature and quality of webs of social networks and the nature and quality of formal and informal communications within an organization |
 B | Implementation climate | The absorptive capacity for change, shared receptivity of involved individuals to an intervention, and the extent to which use of that intervention will be rewarded, supported, and expected within their organization |
B1. Organizational incentives and rewards | Extrinsic incentives such as goal-sharing awards, performance reviews, promotions, and raises in salary, and less tangible incentives such as increased stature or respect | |
B2. Goals and feedback | The degree to which goals are clearly communicated, acted upon, and fed back to staff, and alignment of that feedback with goals | |
B3. Relative priority | Individuals’ shared perception of the importance of the implementation within the organization | |
 C | Readiness for implementation | Tangible and immediate indicators of organizational commitment to its decision to implement an intervention |
C1. Available resources | The level of resources dedicated for implementation and ongoing operations, including money, training, education, physical space, and time | |
C2. Access to knowledge and information | Ease of access to digestible information and knowledge about the intervention and how to incorporate it into work tasks | |
I. Outer setting | ||
 A | Patient needs and resources | The extent to which patient needs, as well as facilitators and barriers to meet those needs, are accurately known and prioritized by the organization |
 B | Cosmopolitanism | The degree to which an organization is networked with other external organizations |
 C | External policy and incentives | A broad construct that includes external strategies to spread interventions, including policy and regulations (governmental or other central entity), external mandates, recommendations and guidelines, pay-for-performance, collaboratives, and public or benchmark reporting |