Implementation science in the real world: a streamlined model

J Healthc Qual. 2012 Nov-Dec;34(6):27-34; quiz 34-5. doi: 10.1111/j.1945-1474.2012.00220.x.

Abstract

The process of quality improvement may involve enhancing or revising existing practices or the introduction of a novel element. Principles of Implementation Science provide key theories to guide these processes, however, such theories tend to be highly technical in nature and do not provide pragmatic nor streamlined approaches to real-world implementation. This paper presents a concisely comprehensive six step theory-based Implementation Science model that we have successfully used to launch more than two-dozen self-sustaining implementations. In addition, we provide an abbreviated case study in which we used our streamlined theoretical model to successfully guide the development and implementation of an HIV testing/linkage to care campaign in homeless shelter settings in Los Angeles County.

MeSH terms

  • Delivery of Health Care / methods
  • Delivery of Health Care / organization & administration*
  • Delivery of Health Care / standards
  • Health Personnel / education
  • Humans
  • Ill-Housed Persons*
  • Los Angeles
  • Marketing of Health Services
  • Models, Organizational
  • Needs Assessment / organization & administration*
  • Needs Assessment / standards
  • Organizational Case Studies
  • Peer Group
  • Quality Assurance, Health Care / methods
  • Quality Assurance, Health Care / organization & administration*