Andrea L Nevedal, Marilla A Opra Widerquist, Caitlin M Reardon, Maria Arasim, George L Jackson, Brandolyn White, Madison Burns, Gemmae M Fix, Kathryn DeLaughter, Sarah L Cutrona, Allen L Gifford, Guneet K Jasuja, Timothy P Hogan, Heather A King, Blake Henderson, Laura J Damschroder
BACKGROUND: The Veterans Health Administration (VHA) is the United States largest learning health system. The Diffusion of Excellence (DoE) program is a large-scale model of diffusion that identifies and diffuses evidence-informed practices across VHA. During the period of 2016-2021, 57 evidence-informed practices were implemented across 82 VHA facilities. This setting provides a unique opportunity to understand sustainment determinants and pathways. Our objective was to characterize the longitudinal pathways of practices as they transition from initial implementation to long-term sustainment at each facility...
May 7, 2024: Implementation Science: IS