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Frameworks for Integrating Implementation Science: Stages and Strategies for Success

This document outlines the critical stages of implementation science, providing a roadmap for effective change management within organizations. It discusses key phases such as Exploration, Installation, Initial Implementation, Full Operation, Innovation, and Sustainability. Each phase highlights tools and strategies for assessing community needs, aligning resources, building capacity, and evaluating outcomes. Emphasis is placed on communication and readiness for change as vital components for successful implementation. By following these frameworks, organizations can enhance their capacity to integrate evidence-based practices effectively.

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Frameworks for Integrating Implementation Science: Stages and Strategies for Success

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  1. http://globalimplementation.org/_static/gii/uploads/files//plenary_411_fixen_slides_frameworks_to_integrate.pdfhttp://globalimplementation.org/_static/gii/uploads/files//plenary_411_fixen_slides_frameworks_to_integrate.pdf

  2. Through each replication, we become more clear in our implementation efforts. http://zerobearblog.blogspot.com/2012/01/this-duck-business-is-for-birds.html

  3. Implementation Science Degrees/Stages of Implementation and Local Control Accountability Plans

  4. Performance: Systemic change (procedures, processes and training with context, follow up, assessment of outcomes, plans for revision and course-corrections). Degrees of Implementation Process: New operating procedures, some training, change information reporting (format). Paper: New policies and mandates. http://www.dreamstime.com/royalty-free-stock-photo-holding-up-arrow-image11106345

  5. Stages of Implementation Exploration Installation Initial Implementation Full Implementation Innovation Sustainability http://www.dreamstime.com/royalty-free-stock-photo-holding-up-arrow-image11106345

  6. Exploration • “Find the right fit.” • Assess the potential match between community needs, evidence-based practice, program needs, and community resources. • “Make decision to proceed with implementation of an evidence-based program based.” (Blase et al., 1984; Khatri & Frieden, 2002; Schoenwald & Hoagwood, 2001). • Create readiness for change. Ask “how are we planning for ….?” • COMMUNICATE!

  7. Installation • “Start up.” • Resources are aligned in active preparation for actually doing things differently. • Structural supports necessary to initiate the program are put in place: training and coaching, data system. • Staffingand a plan to assess performance of all staff. • Align resources. • Determine expected outcomes and reporting frameworks. Ask “how are we developing and or installing ….?” • COMMUNICATE!

  8. Initial Implementation • Capacity Building: • Practitioners (teachers) • Support (coaches) • Leaders (principals, district) • “Abandonment”: Attempts to implement new practices effectively may end at this point (Macallair & Males, 2004). • Ask how are we supporting & problem solving? • “Awkward Stage” (Joyce & Showers, 2002). • Create safety. • Learn from mistakes. • Continue “buy-in” efforts. • Manage expectations. • COMMUNICATE!

  9. Full Operation • New learning integrated into practice, policies, procedures. • Effort fully operational. • Becomes the reality – “The way we do things.” • Follows agreed-upon criteria. • Ask “how are we improving and sustaining?” • Evidence. • Practitioners carry out the evidence-based practice or program with proficiency and skill. • Administrators support and facilitate the new practices. • Evaluate program for student outcomes.

  10. Innovation • Opportunities to refine, expand, transfer. • Adaptations: • Some of the changes will be undesirable, cause drift, threat to fidelity. • Others will be desirable, defined as innovations that need to be included in the “standard model” of treatment or implementation practices (Winter & Szulanski, 2001). • “Innovation with scrutiny” after a long enough period of time to see if the innovation is beneficial.

  11. Sustainability • Do we have a plan for changes? • Staff. • Leadership. • Funding streams. • Program requirements. • Social/political contexts. • Community/business partners. • External systems. • Champions.

  12. Stages of Implementation Survey

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