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Abstract
Implementation science is focused on developing and evaluating methods to reduce gaps between research and practice. As healthcare organizations become increasingly accountable for equity, quality, and value, attention has been directed to identifying specific implementation strategies that can accelerate the adoption of evidence-based therapies into clinical practice. In this perspective, we offer three simple, practical strategies that can be used by frontline healthcare providers who are involved in on-the-ground implementation: people (stakeholder) engagement, process mapping, and problem solving. As a use case example, we describe the iterative application of these strategies to the implementation of a new home sleep apnea testing program for patients in the Veterans Health Administration (VA) healthcare system.
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; Kaul Bhavika 1 ; Reichert, Jill 2 ; Kilbourne, Amy M 3 ; Sarmiento, Kathleen F 4 ; Whooley, Mary A 5 1 San Francisco Veterans Affairs Health Care System, San Francisco, USA (GRID:grid.280747.e) (ISNI:0000 0004 0419 2556); University of California San Francisco, Department of Medicine, San Francisco, USA (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)
2 San Francisco Veterans Affairs Health Care System, San Francisco, USA (GRID:grid.280747.e) (ISNI:0000 0004 0419 2556); Office of Rural Health, Veterans Health Administration, Washington, DC, USA (GRID:grid.239186.7) (ISNI:0000 0004 0481 9574)
3 Quality Enhancement Research Initiative, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, USA (GRID:grid.413726.5) (ISNI:0000 0004 0420 6436); University of Michigan Medical School, Department of Learning Health Sciences, Ann Arbor, USA (GRID:grid.214458.e) (ISNI:0000000086837370)
4 San Francisco Veterans Affairs Health Care System, San Francisco, USA (GRID:grid.280747.e) (ISNI:0000 0004 0419 2556); University of California San Francisco, Department of Medicine, San Francisco, USA (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811); Office of Rural Health, Veterans Health Administration, Washington, DC, USA (GRID:grid.239186.7) (ISNI:0000 0004 0481 9574)
5 San Francisco Veterans Affairs Health Care System, San Francisco, USA (GRID:grid.280747.e) (ISNI:0000 0004 0419 2556); University of California San Francisco, Department of Medicine, San Francisco, USA (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811); Quality Enhancement Research Initiative, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, USA (GRID:grid.413726.5) (ISNI:0000 0004 0420 6436)