Visualizing implementation: contextual and organizational support mapping of stakeholders (COSMOS)
Steven L Bernstein1,2, June Weiss1, Leslie Curry3
1Yale Center for Implementation Science, Department of Emergency Medicine, Yale School of Medicine, New Haven, USA.
Implementation Science Communications
|September 5, 2020
Summary
We developed Contextual and Organizational Support Mapping of Stakeholders (COSMOS) to identify and assess healthcare stakeholders. This visual tool helps implementation teams understand stakeholder support and criticality for project success.
Area of Science:
- Healthcare Implementation Science
- Health Services Research
- Organizational Behavior
Background:
- Stakeholder mapping is underutilized in healthcare settings.
- A novel method, Contextual and Organizational Support Mapping of Stakeholders (COSMOS), was developed.
- COSMOS identifies and assesses key stakeholders in implementation projects.
Purpose of the Study:
- To introduce and describe the COSMOS method for healthcare stakeholder mapping.
- To provide a visual tool for assessing stakeholder support and influence.
- To enhance the success of implementation projects in healthcare.
Main Methods:
- The COSMOS model was developed and applied in a hospital-based study (2013-2016).
- The study involved embedding electronic health record prompts for adult smokers.
- Qualitative interviews with hospital administration, physicians, and IT personnel (n=24) informed COSMOS development.
Main Results:
- COSMOS uses an organizational chart with visual cues (colors, borders) to indicate stakeholder support and criticality.
- The visualization identified potential impediments and guided strategies for stakeholder engagement.
- COSMOS proved effective for educating trainees in implementation science.
Conclusions:
- COSMOS offers a visually rich method for identifying stakeholders and their relationships.
- It displays stakeholder support levels and criticality for implementation efforts.
- COSMOS is applicable to healthcare, education, government, and industry implementation science.
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