What barriers might you face in implementing the program? How will you overcome those barriers?
Chapter 16, Implementation, Dissemination, and Diffusion of Public Health Interventions (PDF), includes an example about using the Consolidated Framework for Implementation Research (CFIR) as it relates to Substance Abuse Disorder Treatment.
You are the Executive Director of a treatment program that wants to implement a county-wide program that addresses substance abuse prevention in young teens ages 12–15.
Using Table 16.5 as your guide, discuss any three of the five domains provided. For example, if you choose the Outer Setting:
What are the issues related to the economic, political, and social context that the organization must consider?
What barriers might you face in implementing the program?
How will you overcome those barriers?
Organizations are as alike and unique as human beings. Similarly, group processes can be as straightforward or as complex as the individuals who make up the organization. It is vital to successfully launching a new program that the leaders understand the strengths, weaknesses, and idiosyncrasies of the organization or system in which they operate.
Try to anticipate barriers to implementation so that you can develop strategies to minimize their impact or avoid them altogether. The following list of common barriers can be used to help your leadership team identify potential obstacles. The list of essential elements for change can help the team brainstorm possible solutions.
The lists are a good starting point for a planning session that will be most effective if it also takes into account the organization’s unique characteristics (Institute for Health Improvement).
Clinicians with experience in end-of-life care often feel that establishing a palliative care program is not “rocket science” and is an effective way to manage care that will have positive outcomes for patients.
Hospice programs have demonstrated their cost effectiveness, but this fact also is not sufficient reason for an organization to develop a palliative care program.