Rigorous Implementation Science

AMGA uses rigorous research methodologies for evaluating the uptake, adoption, and integration of evidence-based practices, interventions, and policies into routine health care in clinical, organizational, or policy contexts. For example, we use the Consolidated Framework for Implementation Research (CFIR) construct domains (intervention, outer setting, inner setting, individual characteristics, and process) to assess how these factors positively or negatively influence implementation. And, when confronting multiple implementation barriers, AMGA employs the Expert Recommendations for Implementing Change (ERIC), a protocol for mixed methods research developed with input from a wide range of experts in implementation science and clinical practice.

Implementation Science

Implementation science

  • Bridges gap between clinical research, everyday practice, public health
  • Builds knowledge base about HOW health information, interventions, new clinical practices, guidelines, and policies are transmitted and translated for healthcare service in specific settings
  • Variety of research designs, methodological approaches, and partnerships with key stakeholder groups (patients, providers, organizations, systems, communities): science of engagement
  • Develops and tests ways to effectively and efficiently integrate evidence-based practices, interventions, and policies into routine health settings

Many factors can influence the success of implementation. We know that commitment, involvement, and accountability of leaders and managers leads to a stronger implementation climate and greater implementation success. Implementation science fosters learning across and between disciplines enabling researchers to learn from practitioners and vice versa. By its nature, implementation science fosters innovations that originate at the clinic level in response to real-world challenges. Many elements of implementation science can benefit from shared learning (strategy and culture; leadership development; communication; relationships with and among care teams; engaging patients and families, as well as payers; financial and compensation models; IT support; and monitoring and evaluation).