Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study.
Andrea L NevedalCaitlin M ReardonGeorge L JacksonSarah L CutronaBrandolyn WhiteAllen L GiffordElizabeth OrvekKathryn DeLaughterLindsay WhiteHeather A KingBlake HendersonRyan VegaLaura DamschroderPublished in: Implementation science communications (2020)
Most teams implemented within 6 months and/or sustained their GSP 1.5 years later. High levels of implementation and sustainment across diverse practices and teams suggest that VHA's DoE is a successful large-scale model of diffusion. Team predictions about sustainability after the first 6 months of implementation provide a promising early assessment and point of intervention to increase sustainability.