Table 4 HCP and patient implementation readiness checklist: appropriateness and cost.
Determinant | Item | Description and designing for outcomes |
|---|---|---|
Fit for Purpose Proctor Outcome: Appropriateness | HCP • Have appropriate use of the system and system boundaries been discussed with patients? | HCPs noted that the use of telemedicine and telework resulted in less work-life balance. Implementing direct contact with providers requires expectation management of: appropriate frequency of communication, and defining “timeliness” of expected response. This would be clinic/clinician specific. Some clinicians may support shorter or longer times for follow-up. Boundaries should be communicated to patients. CFIR Construct (Domain): Culture (Inner Setting), Innovation Deliverers (Individuals), Innovation Adaptability (Innovation)70,76,77 |
Patient • How has the system been assessed for appropriateness to meet specific population needs? | Patients envisioned a nurse-led clinic as valuable support for self-management. Fit for purpose could be assessed by implementing the system through a pilot project and completing an assessment via suitable methodologies, based on what outcomes the system is intended to improve or support. CFIR Construct (Domain): Innovation Recipients (Individuals), Innovation Adaptability (Innovation), Innovation Trialability (Innovation)74,76,78 | |
Resource Allocation Proctor Outcome: Cost | HCP • Have specific resources and staffing been allocated to the platform to ensure that it is not resulting in an increased workload for providers? | HCPs were concerned that the introduction of a digital therapeutic would add more responsibilities into their role (“pain”) without much value (“gain”). Resource allocation assessment could include qualitative assessment of whether HCPs feel they have the capacity and resources to use this platform. CFIR Construct (Domain): Available Resources (Inner Setting)79 |
