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Domains for Implementation
The Consortium activities are guided by the Active Implementation Frameworks developed by the National Implementation Research Network (https://nirn.fpg.unc.edu/) and adapted by the SCI Knowledge Mobilization Network (SCI KMN). For more information about these Implementation Science-based frameworks see the Guide that also outlines the experiences of the SCI KMN in implementing best practice in SCI rehabilitation.
Implementation Science involves a systematic and intentional approach that facilitates adherence to evidence-informed steps and principles associated with good implementation practice. Some of the steps are illustrated in the accompanying diagram;
Implementation:
“A specified set of purposeful activities at the practice, program, and system level designed to put into place a practice, program or intervention of known dimensions with fidelity.”
Karen Blase and Dean Fixsen, 2010
National Implementation Research Network https://nirn.fpg.unc.edu/
Key Implementation Processes
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Forming Implementation Teams
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Understanding the Practice(s)
Practice Profiling
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Identifying What Needs to Be In Place to Make the Implementation Happen
Drivers Analysis
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Creating an Implementation Action Plan
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Putting Your Plan In Place
Improvement Cycles (PDSA)
PLAN: Decide what to do
DO: Do it (be sure)
STUDY: Analyze results
ACT: Make adjustments
CYCLE: Do over and over
Improvement Cycles
Why is it important to use Implementation Science?
(Institute of Medicine, 2000; 2001; 2009; New Freedom Commission on Mental Health, 2003; National Commission on Excellence in Education,1983; Department of Health and Human Services, 1999)
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