The implementation checklist: A pragmatic instrument for accelerating research-to-implementation cycles

Area of Science:

• Health Services Research
• Implementation Science
• Healthcare Management

Background:

• Learning health systems necessitate efficient research-to-implementation processes.
• Existing frameworks are often time-consuming and complex for physician-researchers.
• A need exists for a streamlined tool to facilitate innovation adoption.

Purpose of the Study:

• To develop a concise, pragmatic implementation planning instrument.
• To improve the efficiency and uptake of research findings in healthcare settings.
• To support rapid-cycle innovation within a learning health system.

Main Methods:

• Conducted a systematic review of 894 implementation framework publications.
• Extracted core domains from the Quality Implementation Framework (QIF), Consolidated Framework for Implementation Research (CFIR), and RE-AIM framework.
• Engaged stakeholders and iteratively revised a draft document into a one-page instrument.

Main Results:

• A one-page implementation planning instrument was developed, integrating key concepts from established frameworks.
• The instrument addresses feasibility concerns while maintaining the core goals of more complex tools.
• The tool was integrated into projects within Kaiser Permanente Northern California, improving engagement and efficiency.

Conclusions:

• A streamlined, one-page instrument offers a pragmatic framework for evidence-based healthcare innovation.
• This tool facilitates rapid-cycle research-to-implementation in diverse healthcare projects.
• The approach can inform other settings seeking efficient best-practice tools for innovation.