Applying and Building the Science of Dissemination and Implementation: 
Kaiser Permanente’s Center for Health Dissemination and Implementation Research

Vision

• to advance the field of dissemination and implementation research and to offer concrete assistance to narrow the gap between health research, practice and policy, especially as they apply to reducing health disparities
• We pursue this vision by partnering with organizations and on projects targeting disparities in health and health care among racial, ethnic, socioeconomic, health literacy, and geopolitical populations and offering tools and technical assistance at the planning, implementation, evaluation, and reporting stages for interventions.

Convergence of Diffusion and Social Marketing Concepts to Disseminate Evidence-Based
Public Health Practices
Presented by: Drs. James W. Dearing and Ed Maibach, 2007
Description: Why can these two change models be usefully combined?

• Different assumptions
• Different literatures
• Different practice settings but
• Similar objectives and complementary concepts

Designing for Diffusion
Presented by: James W. Dearing, 2008
Descripton: Design is a coordinated set of evaluation-based activities that

• lead to the creation of “push” strategies on the basis of
• eliciting predisposing psychological and sociological “pull” motivations for change

Designing for Dissemination and Implementation.
Presented by: Dr James W. Dearing, 2008
Description: Design is a coordinated set of evaluation-based activities that:

• lead to the creation of D&I “push” strategies on the basis of
  
• eliciting predisposing psychological and sociological “pull” or intrinsic motivations
  for change

Disseminating Evidence-Based Public Health Interventions.
Presented by: Dr. James W. Dearing, 2007
Description: Diffusion is…
the process by which new ideas are communicated, adopted, and implemented over time
among the members of a social system.

External Validity Issues Presentation
Presented by: Drs. Lisa Klesges, Paul Estabrooks, and Russ Glasgow, 2009
Description: Overview

• Rationale for and Importance of External Validity (EV) for Translation
  
• EV Reporting Criteria applied to childhood obesity literature
  
• Summary EV Criteria from Re-Aim Model

Factors to Consider Before Spreading an Innovation Inside or Outside Your Facility
Presented by: Dr. James W. Dearing, 2008
Description: Innovations spread because of 3 factors

• What potential adopters think about the innovation
  
• What potential adopters think others think about the innovation
  
• Windows of opportunity

Identifying and Intervening with Opinion Leaders
Presented by: Dr. James W. Dearing, 2008
Description: Diffusion is a process by which an innovation is communicated over time among the members of a social system.

IMPLEMENTING 21ST CENTURY WELL CHILD CARE IN AN HMO - Poster
Presented by: Arne Beck, PhD, David Bergman, MD Alanna Kulchak Rahm, MS, James W Dearing, PhD,
Russell E. Glasgow, PhD, January 2009
We describe a theory and evidence-based process for implementing developmental and preventive services for children. Twenty first Century Well Child Care (WCC) is a parent-centered, multidisciplinary team-based model combining online pre-visit child assessments with in-office well child visits of varying length. Parents complete pre-visit assessments using the Child Health and Development Interactive System (CHADIS), a web-based screening and assessment tool.

The Next Generation Rapid-Learning Health System: Combining Decision Support Tools, Organizational Decision Making, and Dissemination and Implementation Science to Improve Healthcare
Presented by: Arne Beck, PhD, R. Sam Larson, PhD, James Dearing, PhD, Douglas Conner, PhD
Description: Overview

• Introduction
• Next generation rapid learning healthcare system
• Rapid learning health care system tools – Arne Beck
• Organizational decision making – Sam Larson
• Dissemination and implementation science – Jim Dearing
• Case study – Doug Conner

Strategies and Tools for Enhancing Implementation Research within Kaiser Permanente:
How can the CHDIR Help?
Presented by: Dr. Russell Glasgow, 2007
Description: Implementation Research Goals Of CHDIR

• Making research relevant
• Help make KP a leading rapid learning healthcare organization (ala Etheridge)
  
• Provide leadership and coordination around practical research

Strategies and Tools for Improving Dissemination in Kaiser Permanente.
Presented by: Dr James W. Dearing, 2007
Description: Dissemination is a purposive attempt to spread evidence-based innovations
(practices, programs, policies, processes, technologies) through a population of potential adopters.
Practice transfer has been the object of KP Care Experience Council self-study (2004) and Permanente Journal special issue (2005).

“Translating Information Into Action: Improving Quality of Care Through Interactive Media”

The John M. Eisenberg Clinical Decisions and Communications Science Center
at Baylor College of Medicine (EC-BCM)
The 2009 White Paper Series,

09.22.2009 | 8:00a—3:15p Gaithersburg Marriott Washingtonian Center Gaithersburg, Maryland

The Trouble With Dissemination
Presented by: Dr. James W. Dearing, 2008
Description:Common Mistakes in Attempting Dissemination

• Evidence is over over-emphasized
• Innovations are introduced prematurely
• Information is over over-used; influence is under under-used
• Under-use of marketing science formative evaluation
• Self-selection is a primary means by which potential adopters are introduced to innovations
• When self-selection is not used, authority and status are used
• Experimental demonstrations are confused with exemplary demonstrations
• Broader timing (social issue environment) is ignored
• Adaptations are assumed to detract from effectiveness
  and thus are discouraged