Implementation and Adaptation Guide
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Preparing for Implementation
Preparing for implementation takes a lot of planning and coordination. It is also about achieving the right balance between doing what we know is effective and incorporating lessons learned from the pre-implementation assessment. You also need to be prepared to make changes and adapt a new program/intervention/practice so that it will fit with your site, workflow, resources and population (often called the “context).
Here’s what we’ve found so far about successful implementation of new programs/practices/interventions across multiple settings
Identify implementation team, clarify roles and expectations
❯ Plan for hiring new team members, if needed
❯ Secure protected time for existing team members to deliver the new program
❯ Secure office space, additional resources, access needed to perform the role
❯ Set up standing meetings to discuss progress, challenges, timelines
Define core components/core functions
❯ Plan for intervention core components/functions
❯ Core function table
Identify and engage relevant implementing partners
❯ Identify implementing partners
❯ Assess implementing partners' influence and level of involvement
❯ Use strategies to engage and obtain commitment for implementation
Prepare evaluation plan
❯ What would be considered a successful implementation?
❯ What are you hoping to achieve in the end with the implementation of the new program, intervention, or initiative?
❯ Introduction to RE-AIM
❯ Consider which outcomes to evaluate
❯ Consider what data would be needed - how to collect it, who to involve
❯ Plan to track progress
Conduct pre-implementation assessment
❯ Collect pre-implementation data using key informants interviews, process mapping and brain-writing (see videos on Setting Up a Program for Success)
❯ Analyze data to identify key trends, perspectives, processes
❯ Use the data to make pre-implementation adjustments
Make necessary adjustments to ensure fit and minimal workflow impact
❯ Make initial adaptations
❯ Importance to fit with local setting and roles
❯ Prepare a plan to recognize and capture important and impactful adaptations over the entire implementation
Previous: Setting Up a Program For Success / Next: Adapting a Program to Your Needs
