Ensuring intervention success: Assessing fit as an overlooked step of the implementation process

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Pharmaceutical Services, Pharmacists, Implementation Science, Reimbursement Mechanisms, Organizational Culture, Health Resources, Planning Techniques, Organizational Innovation, United States


Ensuring fit between a service and the implementing context is a critical but often overlooked precursor of implementation success. This commentary proposes five key considerations that should be evaluated when exploring fit: alignment with needs and metrics; alignment with organizational resources and capabilities; alignment with organizational priorities and culture; alignment with reimbursement mechanisms for long-term sustainability; and alignment with the regulatory environment. Successful uptake and implementation hinges on careful planning and, most importantly, appropriate fit between the service and the implementing environment.

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1. Eccles MP, Mittman BS. Welcome to implementation science. Implement Sci. 2006;1(1):1-3. https://doi.org/10.1186/1748-5908-1-1
2. Livet M, Haines ST, Curran GM, Seaton TL, Ward CS, Sorensen TD, Roth McClurg M. Implementation Science to Advance Care Delivery: A Primer for Pharmacists and Other Health Professionals. Pharmacotherapy. 2018;38(5):490-502. https://doi.org/10.1002/phar.2114
3. Curran GM, Shoemaker SJ. Advancing pharmacy practice through implementation science. Res Social Adm Pharm. 2017;13(5):889-891. https://doi.org/10.1016/j.sapharm.2017.05.018
4. Smith MA, Blanchard CM, Vuernick E. The Intersection of Implementation Science and Pharmacy Practice Transformation. Ann Pharmacother. 2020;54(1):75-81. https://doi.org/10.1177/1060028019867253
5. Blanchard C, Livet M, Ward C, Sorge L, Sorensen TD, McClurg MR. The Active Implementation Frameworks: A roadmap for advancing implementation of Comprehensive Medication Management in Primary care. Res Social Adm Pharm. 2017;13(5):922-929. https://doi.org/10.1016/j.sapharm.2017.05.006
6. Watkins K, Wood H, Schneider CR, Clifford R. Effectiveness of implementation strategies for clinical guidelines to community pharmacy: a systematic review. Implement Sci. 2015;10:151. https://doi.org/10.1186/s13012-015-0337-7
7. Hohmeier KC, Wheeler JS, Turner K, Vick JS, Marchetti ML, Crain J, Brookhart A.Targeting adaptability to improve medication therapy management (MTM) implementation in community pharmacy. Implement Sci. 2019;14(1):99. https://doi.org/10.1186/s13012-019-0946-7
8. Lyon AR, Ludwig K, Romano E, Koltracht J, Vander Stoep A, McCauley E. Using modular psychotherapy in school mental health: provider perspectives on intervention-setting fit. J Clin Child Adolesc Psychol. 2014;43(6):890-901. https://doi.org/10.1080/15374416.2013.843460
9. Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, Griffey R, Hensley M. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011;38(2):65-76. https://doi.org/10.1007/s10488-010-0319-7
10. Rogers EM. Diffusion of innovations, 4th Edition. New York: Free Press; 1995.
11. Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F. Implementation Research: A Synthesis of the Literature. Available at: https://nirn.fpg.unc.edu/sites/nirn.fpg.unc.edu/files/resources/NIRN-MonographFull-01-2005.pdf (accessed Nov 1, 2020).
12. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Health. 2011;38(1):4-23. https://doi.org/10.1007/s10488-010-0327-7
13. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. https://doi.org/10.1186/1748-5908-4-50
14. Aarons GA, Sommerfeld DH. Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. J Am Acad Child Adolesc Psychiatry. 2012;51(4):423-431. https://doi.org/10.1016/j.jaac.2012.01.018
15. Scaccia JP, Cook BS, Lamont A, Wandersman A, Castellow J, Katz J, Beidas RS. A practical implementation science heuristic for organizational readiness: R = MC 2. J Commun Psychol. 2015;43(4):484-501. https://doi.org/10.1002/jcop.21698
16. Kilbourne AM, Neumann MS, Pincus HA, Bauer MS, Stall R. Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Implement Sci. 2007;2:42. https://doi.org/10.1186/1748-5908-2-42
17. Woodall T, Landis SE, Galvin SL, Plaut T, Roth McClurg MT. Provision of annual wellness visits with comprehensive medication management by a clinical pharmacist practitioner. Am J Health Syst Pharm. 2017;74(4):218-223. https://doi.org/10.2146/ajhp150938
18. Budlong H, Brummel A, Rhodes A, Nici H. Impact of Comprehensive Medication Management on Hospital Readmission Rates. Popul Health Manag. 2018;21(5):395-400. https://doi.org/10.1089/pop.2017.0167
19. Hanna T, Bajorek B, Lemay K, Armour CL. Using scenarios to test the appropriateness of pharmacist prescribing in asthma management. Pharm Pract (Granada). 2014;12(1):390. https://doi.org/10.4321/s1886-36552014000100009
20. Bacci JL, McGrath SH, Pringle JL, Maguire MA, McGivney MS. Implementation of targeted medication adherence interventions within a community chain pharmacy practice: The Pennsylvania Project. J Am Pharm Assoc (2003). 2014;54(6):584-593. https://doi.org/10.1331/japha.2014.14034
21. Moullin JC, Sabater-Hernández D, Benrimoj SI. Qualitative study on the implementation of professional pharmacy services in Australian community pharmacies using framework analysis. BMC Health Serv Res. 2016;16(1):439. https://doi.org/10.1186/s12913-016-1689-7
22. Turner K, Trogdon JG, Weinberger M, Stover AM, Ferreri S, Farley JF, Ray N, Patti M, Renfro C, Shea CM. Testing the organizational theory of innovation implementation effectiveness in a community pharmacy medication management program: a hurdle regression analysis. Implement Sci. 2018;13(1):105. https://doi.org/10.1186/s13012-018-0799-5
23. Metz A, Louison L. The hexagon: An exploration tool. Available at: https://nirn.fpg.unc.edu/sites/nirn.fpg.unc.edu/files/imce/documents/NIRN Hexagon Discussion Analysis Tool_September2020_1.pdf (accessed Nov 1, 2020).
24. Chinman M, Hunter SB, Ebener P, Paddock SM, Stillman L, Imm P, Wandersman A. The getting to outcomes demonstration and evaluation: an illustration of the prevention support system. Am J Community Psychol. 2008;41(3-4):206-224. https://doi.org/10.1007/s10464-008-9163-2
25. Metz A, Louison L, Ward C, Burke K. Implementation Specialist Practice Profile Skills and Competencies for Implementation Practitioners. Available at: https://www.effectiveservices.org/downloads/IS-Practice-Profile-10-18-18.pdf (accessed Nov 1, 2020).
26. CMM in Primary Care Research Team. The patient care process for delivering comprehensive medication management (CMM). Available at: http://www.accp.com/cmm_care_process(accessed Nov 1, 2020).
27. Bleser WK, Miller-Day M, Naughton D, Bricker PL, Cronholm PF, Gabbay RA. Strategies for achieving whole-practice engagement and buy-in to the patient-centered medical home. Ann Fam Med. 2014;12(1):37-45. https://doi.org/10.1370/afm.1564
28. Summerill C, Pollard SJ, Smith JA. The role of organizational culture and leadership in water safety plan implementation for improved risk management. Sci Total Environ. 2010;408(20):4319-4327. https://doi.org/10.1016/j.scitotenv.2010.06.043

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