Service Options in Each Phase of Uptake and Implementation
Exploration
- Support communities to discern which program models may work for them. Gather community voices with a thoughtful sampling plan to identify goals for programming and cultural values.
- Report back to the community about goals and values to check; this aids in the vetting and identification of candidate programs.
- Delineate key features of candidate programs, repackaging published program information for community stakeholder audiences. Language and phrases used by community members in earlier phases of exploration are used to underscore alignment of the candidate programs with community goals and values. Reports can be used for community conversation, buy-in, and fundraising.
- Support co-creation of an adapted version of the selected program with nominated community representatives and/or with structured input and feedback at planned intervals. Adaptations may be for new delivery context (e.g., primary care, child welfare), for a new target outcome, specific cultural audience or new population, or to align differently-focused programs to form a holistic treatment approach.
Installment/Preparation
I provide support for your human services organization to weather the shift toward a more effective approach for your clients. Using the evidence-based program model as a starting point, I operationalize and enhance programs by tailoring each element in a program’s logic model to the unique case of the program operating in the organization to meet the community‘s need. My approach as an implementation support consultant is backed by implementation science, change psychology, and nearly a decade of partnership experience.
- Collaborate with a purveyor (national dissemination center) supporting the program to sufficiently learn the model to tailor materials to your organization and community, including for specific outcomes or specific populations or settings.
- Build a tailored logic model documenting inputs, activities, outputs, and outcomes for reference throughout the launch planning and implementation. This supports staff conceptual understanding, alignment of organizational infrastructure and supports, planning program metrics, and reflection on progress and success.
- Build tailored systems to the organization’s new approach, including database alterations for process and outcome documentation, protocols and workflow reference documents.
- Uncover and proactively address staff concerns and pain points while building team collaboration and cohesion, mitigating resistance to change.
Implementation and Quality Improvement
- Monitor progress in implementation metrics and outcomes to create documentation for certification or credentialing and support internal evaluation capacity.
- Create data feedback loops and facilitate implementation team meetings to support staff’s quality improvement efforts.
- Identify best practice gaps through structured interviews, observations, and other data gathering
- As information is gathered, this process results in actionable feedback and recommendations at various stages: staff training recommendations, teaming strategies, supervision strategies, organizational structure changes such as role delineation, hiring practice recommendations, and policy recommendations.
Sustainability and Sustainment
- Interface with supporting and surrounding systems and their representatives, combined with the information gathered from staff, leadership, and implementation and engagement data in the implementation phase, to make policy recommendations for sustainment. Recommendations may include interagency feedback loops, referral pathways, and codifying policies that support implementation quality and ease.
- Reporting back to stakeholders, including systems representatives, to communicate policy recommendations, advocating for policy alignment with the new service approach. Policy alignment is considered across any adjacent systems at state and local levels, as applicable.
Off-Ramp
After building your organization’s capacity to maintain high-quality implementation over the long term, I collaboratively identify a transition point in the innovation timeline to resume smooth independent functioning to your organization.
I offer a scaled-down approach to the implementation intermediary role, while being more hands-on and supportive than technical assistance– An approach akin to organizational consulting, based in implementation science.
