Scaling Beyond Early Adopters: A Systematic Review and Key Informant Perspectives
Amy Kilbourne, PhD, MPH
Isomi Miake-Lye, PhD
Ryan Vega, MD
Seminar date: 7/15/2019
Description: The process of moving research insights into clinical practice can be slow and a gap often
remains between best practices, frequently developed within single sites or small populations,
and general practice delivered at a population scale. The field of implementation science seeks to
mend this gap by promoting the adoption and appropriate use of effective interventions,
practices, and programs, which includes the study of scale-up and spread of innovations. While
hard-to-engage sites may have unique characteristics from sites that are engaged quickly or
earlier, they are not typically differentiated in scale-up and spread processes. Thus, there is a lack of information about hard-to-engage sites and how to tailor approaches to these sites in scale-up and spread efforts. The objective of this project is to use systematic review and qualitative interview methods together to understand strategies available to scale up and spread clinical and administrative practices across large healthcare systems such as the VHA, with a focus on “hard-to-engage” sites.
Dr. Amy Kilbourne, Director of QUERI, and Operational Partner, Dr. Ryan Vega, Director, Diffusion of Excellence Initiative, VA Center for Innovation will be available for commentary and Q&A with the audience.
Intended audience: Researchers, clinicians, policy makers, and anyone interested in moving research insights into clinical practice, and implementation science.