DRAFT - Implementation Toolkit
MCHRI Implementation approach
The Monash Centre for Health Research and Implementation (MCHRI) is a leader in evidence-based implementation and is distinguished by a focus on methodological rigour, stakeholder engagement, and partnership, leading to co-production, and timely and effective translation.
We understand that merely establishing effectiveness of an innovation does not guarantee its uptake, and that a deliberative approach is required to actively overcome the notorious research to practice gap.
In contrast to other implementation frameworks, the MCHRI method places a strong focus on meaningful stakeholder engagement, codesign, knowledge generation, dissemination, translation, scale-up, and refinement/learning from evaluation. By harnessing stakeholder insights, the MCHRI approach is attuned to local and systemic contextual barriers and enablers. Co-design of strategies to overcome barriers, and harness opportunities, is a central tenet of this approach.
“It is important to remember that implementation is not project management. People often confuse the two. Implementation is everything that is wrapped around a project, to ensure its effectiveness, uptake and sustainability.”
Dr Rhonda Garad
Before you start
Before you start going through the toolkit sections, can you think about the problem you are trying to fix and write it on a piece of paper.
Try not to jump to a solution. Consider what evidence you have that this problem exists. If there is no objective evidence at this stage, that is fine. You can work towards gathering evidence.
Influencing factors of a change project
A strong component of implementation is doing a comprehensive contextual analysis of the area in which you want to make a change or improvement. Really understanding the factors, actors, pressures, resources etc is very important, because these become the focus of your implementation plan.
We will lead you through some questions to help you do this analysis.
“The number one mistake in implementation is the failure to do a deep analysis of contextual factors. This will always end in tears.”
Dr Rhonda Garad
There are five main influencing factors to consider
Outside your organisation
What are the factors outside your organisation or work area that are driving change? ...
Think about your work environment and consider the drivers within that may be pressing for change...
Barriers you may face
Think about the factors that may prevent change. For example, will staff resist this change? ...
Enablers that will assist
What are the factors that will assist you? Will this change be supported by staff, consumers, etc.? ...
One of the key mistakes in implementation is the lack of meaningful engagement with ...
Please go through the steps above with a readiness assessment for each step and recommendations based on your responses.
Readiness refers to factors that may be pushing or pulling your organization or your work areas towards or away from change.
After the preliminary steps and readiness assessment, you can sign up for your implementation toolkit package and choose the level of support you require to start your implementation.
We will walk you through the implementation step-by-step, and you can create your action plan to get the initiative ready for implementation. We will support every step and provide you with training and coaching (optional) to design, implement and evaluate your change.
“As an obstetrician in the clinic from the beginning for many years, I can tell you that the midwifes were a bit hesitant about the change at first but now love it.”
Jacqueline Boyle – Obstetrician