Diffusion Confusion How Do We Best Bring Interventions to Scale? Summer Research Institute on...
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Diffusion Confusion
How Do We Best Bring Interventions to Scale?
Summer Research Institute on Developing Behavioral Interventions
Baltimore, MD
June 2013
2
Where I’m Coming From
• Socially responsible communications and public relations firm
• Aging and youth specialties
• Partnerships with academic innovators including:
• Leff – Hospital at Home• Boult – Guided Care• Gitlin – Skills2Care• Counsell – GRACE Team Care• Boustani – Aging Brain Care• Lorig/NCOA – CDSMP
3
Where We’re Going
1. The challenges of
implementation,
diffusion and scale
2. Elements of
successful diffusion
efforts in geriatrics
3. Success stories
(IMPACT, CAPC,
Hospital at Home)
4. Discussion
4
Diffusion Challenges
1• The no-system, health
care system
• Skills/expertise deficit
• Resource deficit
• What does success look like – for you
5
Diffusion Opportunities
1• Affordable Care Act
• Cost and quality pressures
• Developing understanding of the importance of prevention, community resources
• Wide range of potential Implementation partners
18
Elements of Successful Diffusion 2
1. Robust evidence base2. Community translation/various diffusion sites3. Compelling end-user business case4. Comprehensive implementation tools5. Training and technical assistance6. Engaging Web presence7. Protected intellectual property8. Learning community9. Visible innovator/spokesperson10.Policy support/reimbursement11.Access to capital to support diffusion activities