Implementation and Adaptation Guide
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Is a Program Right for Us?
Have you heard that a new health services program is effective and relatively easy to implement? Sounds great, but how do you know if the program is right for you? Not all programs will work in all settings. While adaptation is key to successful programs, it’s best to first carefully consider the fit of a program rather than trying to force a fit down the road.
General Questions
Before you agree to take on a new program, answer these cross-cutting questions as you begin to explore whether a program will fit for you.
Questions to Ask | Click on Yes or No |
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1. Is this an important issue at this time for your organization/unit to devote adequate attention to, given competing priorities? | |
2. Do you have the necessary support and buy-in at levels of: - Hospital/clinic leadership - Staff - Veterans |
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3. Do you have the resources required for the program? Think about the resources need by your organization, healthcare team, and patients/families? | |
4. Do you expect resources and ongoing support from various stakeholders and decision makers to sustain the program in the long run? | |
- If you cannot answer some of these questions, please take time to gather some information before you decide about fit.
- If you answered yes then the program is worth exploring more deeply.
- If you answered no to one or more of these questions, the program may not fit your setting at this time. At this point it makes sense to address the areas where your answer was no and generate more support around the program before you proceed with further steps. Ways to generate more support include: talk to key stakeholders, talk to end users, and conduct a process map of perceived problem.
Here are some additional questions to ask if you’re thinking about implementing the Community Hospital Transitions Program (CHTP):
1. Do you serve Veterans who are dual-users of both VA and non-VA community care?
2. Do providers and Veterans in your facility experience barriers when transitioning Veterans back to the VA primary care setting after non-VA hospitalizations?
3. Does the current transition of care process in your facility have room for improvement?
4. Might some system changes transform information transfer and care delivery at your facility?
5. Would a point person to coordinate care for Veterans after non-VA hospitalization improve transitions of care and health outcomes at your facility?
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