Prevention Dissemination and Implementation

Promotional materials about preventive services from the Agency for Healthcare Research and Quality (AHRQ).

Put Prevention Into Practice (PPIP) is a national program to improve delivery of appropriate clinical preventive services. PPIP materials are derived from the evidence-based recommendations of the U.S. Preventive Services Task Force.


PPIP tools enable doctors and other healthcare providers to:

  • Determine which services their patients should receive.
  • Facilitate the implementation of the delivery of clinical preventive services.
  • Make it easier for patients to understand and keep track of their preventive care.


The U.S. Department of Health and Human Services' Office of Disease Prevention and Health Promotion (ODPHP) launched PPIP in 1994 to improve implementation of the recommendations of the U.S. Preventive Services Task Force.

In 1998, management of the project was transferred to the Department's Agency for Healthcare Research and Quality (AHRQ, formerly the Agency for Health Care Policy and Research). PPIP is now part of AHRQ's integrated program in clinical prevention.

Reducing Barriers

PPIP aims to reduce barriers to the effective delivery of clinical preventive services:

  • Clinician barriers. Lack of prevention training, lack of "self-efficacy" (confidence that preventive interventions can make a difference), lack of time, confusion due to conflicting recommendations, lack of knowledge about new tests, inadequate reimbursement for prevention, and liability concerns or patient demand.
  • Office barriers. Lack of knowledge, motivation, readiness for change, or support among office staff, clinical setting focused on illness rather than prevention, and inadequate office systems for tracking delivery of and followup for preventive services.
  • Patient barriers. Lack of knowledge or motivation, anxiety about procedures and possible results, inconvenience, costs, and unrealistic expectations about benefits of some services.

Available Materials

PPIP materials are:

  • Based on research-tested interventions for improving the delivery of preventive services in primary care settings, and on focus group testing with clinicians, office staff, and patients.
  • Developed with the cooperation of many public and private institutions, including Federal agency experts, and contributors from academic institutions, State departments of health, professional groups, and voluntary organizations.
  • Available in print as well as online for a variety of different audiences. A description of materials and availability are provided under Tools and Resources and Ordering Information.
Page last reviewed October 2014
Page originally created September 2012
Internet Citation: Prevention Dissemination and Implementation. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.