Slide Presentation from the AHRQ 2008 Annual Conference
On September 9, 2008, Cindy Brach, made this presentation at the 2008 Annual Conference. Select to access the PowerPoint® presentation (512 KB; Plugin Software Help).
Will It Work Here?
Agency for Healthcare Research and Quality
Center for Delivery, Organization, and Markets
September 9. 2008.
Innovation ≠ Adoption ≠ Implementation
- Innovation—A new way of doing things.
- Adoption—The decision to take up an innovation that has been developed elsewhere.
- Implementation—Putting an innovation into practice.
Will It Work Here?
- Decisionmaker's Guide to Adopting Innovations.
- Web-based—Hyperlinks to Web-based Tools.
- Case Studies—Illustrate lessons learned.
- Modular—Allows users to focus on most pertinent sections.
- Module I: Does this innovation fit?
- Module II: Should we do it here?
- Module III: Can we do it here?
- Module IV: How can we do it here?
What Is the Innovation?
- Why This Matters
Assessing the feasibility of adopting a particular innovation begins with an
understanding of how the innovation works and the scope of the
innovation. Decisionmakers should also examine other organizations'
experiences with the innovation. What may work effectively in one setting
may not work as well in another, so it is important to consider factors such
as context, setting, and circumstances, along with evidence of success.
- How does the innovation work?
- What is the scope of the innovation?
- Where has the innovation been implemented?
- What is the evidence that the innovation worked?
Question 4. What is the evidence that the innovation worked?
Before you decide to adopt an innovation, consider the evidence that the innovation is likely to achieve its goals. To embark on evidence-based decisionmaking, you will need to:
- Find the evidence. Searches of the Web, databases of research articles and syntheses, and networking with professional colleagues are common methods for unearthing evidence.
- Evaluate the evidence. Consider how credible the evidence is in terms of rigor of the analysis, trustworthiness of the source, and applicability to your situation. For example, consider for how long and in how many places the innovation had been implemented when judging the relevance of evaluation data.
- Judge whether there is sufficient evidence. Is the information complete? Are there important perspectives that are not represented?
- Assess the alternatives. Is there more than one viable option? What tradeoffs are associated with each alternative?
- Note: For a series of tools designed to support informed managerial decisionmaking, visit the Informed Decisions Toolbox. It includes modules on how to assess the accuracy, applicability, and actionability of the available evidence:
- Note: Evidence that an innovation did not work is as important as evidence it did work. For an example of evidence on a failed innovation, look at Faxed Physician Reminders Fail to Improve Antidepressant Adherence on AHRQ's Health Care Innovation Exchange:
- Hard copies can be ordered from AHRQ Publications Clearinghouse: 800-358-9295
Current as of January 2009
Will It Work Here?. Slide Presentation from the AHRQ 2008 Annual Conference (Text Version). January 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualmtg08/090908slides/Brach.htm