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QUERI Implementation Research Group

Using Mechanism Mapping to Illuminate the Black Box of a Meta-Implementation Strategy: Facilitation

by Elvin Geng, MD, MPH ; Amy Kilbourne, PhD, MPH
Seminar date: 1/8/2024

Description: Facilitation in healthcare settings is an implementation strategy that supports people in health services organizations develop the means to change the structure and processes within settings to help reduce the gap between evidence and practice. Understanding the core components of healthcare facilitation and specifying the mechanisms by which facilitation improves clinical processes and outcomes, may improve the study and delivery of this implementation strategy. Using mechanism mapping, which applies directed acyclic graphs that decompose an effect of interest into hypothesized causal steps and mechanisms, presenters will explain a more concrete description of how healthcare facilitation works to inform its further study as a meta-implementation strategy. Mapping methodology provides a novel perspective of mechanisms of healthcare facilitation, notably how sensemaking, trust, and normalization contribute to quality improvement. This method may also enable more efficient and impactful hypothesis-testing and application of complex implementation strategies, with high relevance for lower-resourced settings, to inform effective innovation uptake.

Intended Audience: Implementation scientists, health services researchers, clinicians, students

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DOWNLOAD: PDF handout | Audio only (mp3) | transcript

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