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The external facilitator role in problem identification/resolution: potential activities/behaviors per QUERI experiences |
| 1) Problem identification and resolution |
| a) Identification and clarification of problems related to implementing both the evidence-based practices and related implementation interventions |
| i) Provides and reviews with the ICA (internal change agent) information on current gaps, identified barriers, and other feedback |
| ii) Helps ICAs understand their own situation and the nature of problems within their culture/context/work language. |
| (1) Note: Requires the external facilitator to assess and understand the local context. |
| iii) Defines and frames a user's problem in a way that the ICA can best deal with it. |
| b) Review of potential approaches for problem resolution |
| i) Shares viable solutions/options with ICA/s. |
| (1) Seeks information and answers within the greater VA system, including other implementation sites. |
| (2) Works with the QUERI project team to help develop viable alternative activities to solve site problems and remove complex barriers. |
| ii) Helps ICA/s figure out appropriate strategies to address barriers. |
| iii) Creates opportunities for resolution/actions by the ICA, e.g., by: |
| (1) Identifying experts, |
| (2) Identifying peer sites, |
| (3) Identifying resources in the VA, and |
| (4) Establishing a link between the ICA and potential problem solver/s in VA. |
| iv) Negotiates appropriate solutions with the internal agent, as needed. |
| c) Assistance in setting clear goals. |
| i) Helping ICA/s set realistic goals to overcome problems and achieve evidence-based practice targets. |
| d) Direct implementation or initiation of solutions in relation to both identified local site needs and the need to see core QUERI intervention strategies implemented: |
| (1) When specific expertise or skill is required, |
| (a) Provides more education, e.g., re: the implementation strategies or the targeted evidence, and |
| (b) Generates needed tools or sample materials. |
| (2) When specific networking or external contacts are required, |
| (a) For example, obtains available resources for the ICA/s or sites. |
Stetler et al. Implementation Science 2006 1:23 doi:10.1186/1748-5908-1-23 |