The Active Implementation Frameworks: A roadmap for advancing implementation of Comprehensive Medication Management in Primary care

Blanchard, Carrie; Livet, Melanie; Ward, Catherine; Sorge, Lindsay A.; Sorensen, Todd D.; McClurg, Mary Roth

doi:10.1016/j.sapharm.2017.05.006

Cited by 66 publications

(115 citation statements)

References 17 publications

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“…The AIFs have been used by many disciplines including maternal and child health, child welfare, early childhood programs, and education. This framework is also being used in a large study to guide efforts to advance the successful implementation of comprehensive medication management in primary care medical practice . The AIFs are designed to operationalize the practices of implementation in real‐world settings, whereas CIFR classifies implementation facilitators and barriers to guide research.…”

Section: What Do I Need To Know About Implementation Science To Be Abmentioning

confidence: 99%

Implementation Science to Advance Care Delivery: A Primer for Pharmacists and Other Health Professionals

et al. 2018

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Health care is experiencing increasing pressure to implement evidence-based interventions that improve quality, control costs, and maximize value. Unfortunately, many clinical services and interventions to optimize medication use do not consistently produce the intended humanistic, clinical, and economic outcomes. The lack of conclusive results is believed to stem from the widely recognized research-to-practice gap. The field of implementation science seeks to discover and apply strategies designed to accelerate successful integration of interventions into routine practice. This primer provides an overview of implementation science principles for pharmacists and other health care providers interested in accelerating practice transformation to improve health care delivery and, ultimately, patient care.

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Section: What Do I Need To Know About Implementation Science To Be Abmentioning

confidence: 99%

Implementation Science to Advance Care Delivery: A Primer for Pharmacists and Other Health Professionals

et al. 2018

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“…Implementation science provides beneficial frameworks to help initiate or improve CMM telehealth practices. Many implementation and evaluation frameworks exist . Implementation frameworks help measure various indicators including, but not limited to, readiness, acceptability, adoption, appropriateness, feasibility, penetration, sustainability, and scalability, often measured by surveys or interviews.…”

Section: Introductionmentioning

confidence: 99%

“…The AIF contains five components: (a) a usable innovation, (b) innovation drivers, (c) implementation stages, (d) improvement cycles, and (e) implementation teams. Figure provides a conceptual overview of the AIF . In the text that follows, implementation of a CMM telehealth service is outlined using the AIF segmentation into the three stages of implementation: exploration , installation , and implementation and evaluation .…”

Section: Introductionmentioning

confidence: 99%

Implementation and evaluation of comprehensive medication management in telehealth practices

Badowski

Wright

Bainbridge

et al. 2020

J Am Coll Clin Pharm

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The American College of Clinical Pharmacy (ACCP) endorses comprehensive medication management (CMM) as an essential element of team‐based care and advocates CMM inclusion in value‐based health care reform. Remote delivery of CMM through telehealth platforms is expanding and has the potential to become one of the most common clinical pharmacy services. Building on a previous ACCP publication, “Providing Comprehensive Medication Management in Telehealth,” the 2019 ACCP Clinical Practice Affairs A Committee provides insights and guidance on developing, implementing, evaluating, and improving CMM telehealth practices in this white paper.

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“…26 However, examples of fidelity assessments being used in pharmacy practice are few and far between, with these assessments typically being conducted for research purposes. 29 This fidelity assessment was conducted as part of a research project to evaluate an "Improving Health of At-Risk Rural Patients" care delivery model. 29 This fidelity assessment was conducted as part of a research project to evaluate an "Improving Health of At-Risk Rural Patients" care delivery model.…”

Section: Introductionmentioning

confidence: 99%

“…29 A joint collaborative effort between the University of North Carolina, the University of Minnesota, and the American Academy of Family Physicians, this study investigated the implementation and effectiveness of CMM across 40 primary care settings with embedded pharmacists. 29 A joint collaborative effort between the University of North Carolina, the University of Minnesota, and the American Academy of Family Physicians, this study investigated the implementation and effectiveness of CMM across 40 primary care settings with embedded pharmacists.…”

Section: Introductionmentioning

confidence: 99%

Ensuring effective implementation: A fidelity assessment system for comprehensive medication management

Livet

Blanchard

Frail

et al. 2019

J Am Coll Clin Pharm

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Measuring the extent to which an intervention is implemented with fidelity (ie, as intended) is critical to its success. Comprehensive medication management (CMM) is an established pharmacy practice intervention in outpatient settings. However, there is no standardized approach to measuring its implementation fidelity. This article describes a fidelity assessment system that includes measures and tools for use by pharmacists and others involved with the practice of CMM. This system is a comprehensive but modular approach to assessing fidelity designed to facilitate measurement along three fidelity dimensions: context (ie, infrastructure needed to support CMM), content (ie, adherence to CMM), and competence (ie, skillset needed to deliver CMM). Practical recommendations with examples are also provided to facilitate application of the system in real‐world settings. These recommendations are designed to assist with prioritization of the fidelity dimensions to consider timing of the assessments, use of the resulting data, interpretation of the data, and translation of results into actionable decisions. Incorporating fidelity measurement into any CMM implementation effort is key to ensuring consistent care delivery and impactful clinical outcomes.

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The Active Implementation Frameworks: A roadmap for advancing implementation of Comprehensive Medication Management in Primary care

Cited by 66 publications

References 17 publications

Implementation Science to Advance Care Delivery: A Primer for Pharmacists and Other Health Professionals

Implementation Science to Advance Care Delivery: A Primer for Pharmacists and Other Health Professionals

Implementation and evaluation of comprehensive medication management in telehealth practices

Ensuring effective implementation: A fidelity assessment system for comprehensive medication management

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