Diffusion Confusion How Do We Best Bring Interventions to Scale? Summer Research Institute on Developing Behavioral Interventions Baltimore, MD June 2013.

Diffusion Confusion

How Do We Best Bring Interventions to Scale?

Summer Research Institute on Developing Behavioral Interventions

Baltimore, MD

June 2013

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Where I’m Coming From

• Socially responsible communications and public relations firm

• Aging and youth specialties

• Partnerships with academic innovators including:

• Leff – Hospital at Home• Boult – Guided Care• Gitlin – Skills2Care• Counsell – GRACE Team Care• Boustani – Aging Brain Care• Lorig/NCOA – CDSMP

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Where We’re Going

1. The challenges of

implementation,

diffusion and scale

2. Elements of

successful diffusion

efforts in geriatrics

3. Success stories

(IMPACT, CAPC,

Hospital at Home)

4. Discussion

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Diffusion Challenges

1• The no-system, health

care system

• Skills/expertise deficit

• Resource deficit

• What does success look like – for you

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Diffusion Opportunities

1• Affordable Care Act

• Cost and quality pressures

• Developing understanding of the importance of prevention, community resources

• Wide range of potential Implementation partners

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Elements of Successful Diffusion 2

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Elements of Successful Diffusion

1.Robust evidence base

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Elements of Successful Diffusion

2. Community translation/various diffusion sites

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Elements of Successful Diffusion

3. Compelling end-user business case

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Elements of Successful Diffusion

4. Comprehensive implementation tools

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Elements of Successful Diffusion

5. Training and technical assistance

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Elements of Successful Diffusion

6. Engaging Web presence

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Elements of Successful Diffusion

7. Protected intellectual property

®

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Elements of Successful Diffusion

8. Learning community

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Elements of Successful Diffusion

9. Visible innovator/

spokesperson

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Elements of Successful Diffusion

10. Policy support/reimbursement

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Elements of Successful Diffusion

11. Access to capital

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Elements of Successful Diffusion 2

1. Robust evidence base2. Community translation/various diffusion sites3. Compelling end-user business case4. Comprehensive implementation tools5. Training and technical assistance6. Engaging Web presence7. Protected intellectual property8. Learning community9. Visible innovator/spokesperson10.Policy support/reimbursement11.Access to capital to support diffusion activities

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Success Stories 3Multi-faceted uses

IMPACT

CAPC

Hospital At

Home