title: Implementation science in the real world: a case study of HIV rapid testing.
abstract: Implementation science theories offer technical principles for carrying out activities designed to create or improve systems; however, such theories tend not to provide pragmatic or streamlined guidance when it comes to executing the actual implementation. We assembled a streamlined and comprehensive six-step theory-based implementation science model (ADAPTS - Assessment, Deliverables, Activate, Pretraining, Training, Sustainability) derived from the methods we have used to successfully execute multiple self-sustaining implementation efforts within the Veteran's Affairs Healthcare System. This paper provides a case study of our ADAPTS implementation science model, using a complex multisite HIV rapid testing implementation project as an exemplar.
authors: Veterans Affairs (VA) Quality Enhancement Research Initiative for HIV and Hepatitis (QUERI-HIV/HEP) and Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Health Services Research and Development (HRS&D) Center of Excellence, VA Greater Los Angeles Healthcare System.
authors: H
authors: H
authors: Knapp
authors: H D
authors: HD
authors: Anaya
mesh_terms: D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration*; D015658:HIV Infections / Q000175:diagnosis*; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D019982:Organizational Case Studies; D010865:Pilot Projects; D019095:Point-of-Care Systems / Q000592:standards; D058996:Quality Improvement; D014481:United States; D014493:United States Department of Veterans Affairs
keywords: HIV; diagnostic testing; implementation science; organizational change; performance improvement models; process design/re-design/re-engineering; quality improvement; rapid test