Framework For Successful Implementation Research Articles

Demonstrating proof of concept for value-based agreements in Europe: two real-world cases.

Value-based agreements (VBAs) link access, reimbursement, or price to the real-world usage and impact of a medicine, thereby enabling patient access while reducing clinical or financial uncertainty for the payer. VBAs have the potential to support improved patient outcomes, given the value-oriented approach to care, and lead to overall savings, while enabling payers to share risk and reduce uncertainty. This commentary outlines the key challenges, enablers, and a framework for successful implementation by comparing the experience of two VBAs for AstraZeneca medicines, aiming to increase confidence in their future use. Engagement by payers, manufacturers, physicians, and provider institutions, and robust data collection systems that are accessible, simple to use, and add little burden to physicians were key to successfully negotiating a VBA that worked for all stakeholders. In both country systems, a legal/policy framework enabled innovative contracting. These examples demonstrate proof of concept for VBA implementation in different settings, and may inform future VBAs.

An Investigation into Factors which Influence Teachers’ Implementation of Curriculum Reform: A Framework for Successful Implementation

This article reviews literature on teachers’ views of the implementation of curriculum reform and factors which influence teachers’ implementation of curriculum reform. It draws on published peer-reviewed articles and journals related to teachers and how they interface with new reforms within various subject areas and from various countries to organize the findings. It adopts the suggestions made by researchers Lim and Khine (2006) about managing barriers to curriculum reform as a benchmark to develop a framework for teachers’ successful implementation. The conclusion drawn is that curriculum reform is essential for successful development of a society and is best achieved through the bottom-up approach.

Community health promotion programs for older adults: What helps and hinders implementation.

Background and AimsDespite the many known health benefits of physical activity (PA), older adults are the least active citizens in many countries. Regular PA significantly decreases the odds of functional limitation and social disengagement. However, there is a dearth of publicly funded support services for older adults. The primary objective of this study is to conduct a formative evaluation to examine the implementation of community‐driven health promotion programs for older adults in British Columbia, Canada.MethodsThe Active Aging Grant (AAG) initiative funded 30 community‐based organizations in British Columbia to design and deliver community‐driven health promotion programs for older adults, with an explicit focus on PA and social connectedness. Guided by the Framework for Successful Implementation, we recruited program coordinators and participants and used semistructured interview guides to focus on design, delivery, and experience within the program. Framework analysis was used with NVivo 11.ResultsThirty‐six in‐depth, semistructured interviews were conducted in 2017, after program completion. Data saturation was achieved after interviewing 10 coordinators and 26 program participants from seven of the organizations. Eighteen were female; nine were male; 68% fell in the age range of 65‐84. We detail the innovation characteristics, provider characteristics, and contextual factors that facilitate and impede program implementation. Aspects that facilitate implementation include that they promote PA, foster social connectedness, and address isolation and loneliness; personal accountability; affordability; program design; providers' appropriate skills; community collaborations; and transportation support. Aspects that hinder implementation include lack of resources for marketing and communications, lack of volunteers and dedicated staff, and access to transportation. We also highlight two themes that emerged outside the theoretical framework, the roles of gender and funding in program implementation.ConclusionsAs part of a formative evaluation, the information will help adapt and enhance implementation of a larger scale‐out intervention aimed to increase PA and social connectedness amongst older adults in British Columbia, Canada.

Effective implementation of primary school-based healthy lifestyle programmes: a qualitative study of views of school staff

BackgroundPrimary schools are valuable settings to implement healthy lifestyle (healthy eating and physical activity) interventions, aimed at targeting childhood obesity. This study explored school staff perceptions of factors that hinder and enable successful implementation and sustainability of healthy lifestyle interventions in primary schools. Qualitative data was pooled and analysed from two evaluations carried out in primary schools in North England: a feasibility study of a nutrition and physical activity educational programme (PhunkyFoods Feasibility Study), and an evaluation of a healthy eating programme (The Food Dudes Evaluation).MethodsSixty-five qualitative semi-structured interviews were conducted with head teachers, teachers, catering managers, designated school-based programme coordinators and programme staff supporting schools with programme delivery, at 14 schools involved in both evaluations. Thematic analysis was undertaken and emergent themes categorised using a framework for successful implementation by Durlak and Dupre (2008).ResultsOverall, all schools were delivering a range of healthy lifestyle programmes, often with overlapping content. Perceived challenges to implementation of individual programmes included: limited time, timing of implementation, limited training and support, insufficient resources, capacity and facilities, staff perceptions of intervention and perceived skill-proficiency (for cooking and physical activities). Short-term funding, lack of external and internal support were perceived to hinder sustainability. Staff recommendations for successful implementation of future programmes included: extended training and planning time, sufficient capacity, external support for delivery, good resources (interactive, practical and adaptable), and facilities for cooking, healthy eating, gardening and physical activities. Head teachers need to prioritise delivery of a few key healthy lifestyle programmes, in an overcrowded curriculum. Schools need to employ strategies to engage participation of staff, pupils and parents long term.ConclusionsEffective implementation of school-based healthy lifestyle programmes was thought to be aided by flexible and adaptable programmes, enabling good contextual fit, well-resourced programmes and effective leadership at multiple levels, pupil (pupils support delivery) and parent involvement. To facilitate sustainability, it was perceived that programmes need to be integrated within the curriculum and school policies long term, with sustained support from head teachers and staff. These findings are relevant to programme developers, policy makers and those involved in delivering interventions.

Governance of Service-Oriented Architecture in a Healthcare Organization: A Case Study

The article introduces a service-oriented architecture (SOA) governance framework for successful implementation in a healthcare organization. The proposed framework, based on a rigorous literature review, proposes nine governance elements that should be considered during the SOA implementation process. This proposal aims to pinpoint attributes and guidelines for each element required to successfully govern SOA and tackle longstanding healthcare information systems (HIS) implementation challenges. The framework was tested in a healthcare organization and valuable insights are presented herein. The intended use of this framework is as a decision-supporting tool for SOA governance in a healthcare setting.

Ubiquitous manufacturing: overview, framework and further research directions

The aim of this article is to develop a conceptual framework for successful implementation of ubiquitous manufacturing (UM). An interpretivist philosophy has been adopted, guided by deductive and inductive approaches, to develop a conceptual framework for successful implementation of UM. An attempt is made in this article to provide an overview of the available UM literature by developing and classifying a contextual relationship among identified variables using an interpretive structural modelling (ISM) technique, and further categorising these variables into four categories, depending upon their dependence and driving power, using cross-impact matrix multiplication (MICMAC) analysis. The synthesis of an ISM model and MICMAC analysis has resulted in a conceptual framework for successful implementation of UM. Finally, this article concludes with a summary of our findings and further research directions.

Successful Implementation of eRx Systems: Creating Technology–Organization Alignment using the Strategy-Map Approach

The adoption rates of eRx systems continue to be low and their implementation remains uneven. Rooted in the theories of technology–organization alignment and strategy maps, this article develops a framework for successful implementation of eRx systems. The proposed strategy map outlines the key strategic processes that would make implementation of eRx systems not only feasible and successful, but also a profitable venture for healthcare organizations.

Supplier replenishment policy using e-Kanban: A framework for successful implementation

This paper provides generic implementation guidelines for an electronic supplier Kanban in the form of an eight-step implementation Framework. This has been tested, proven and realised, providing a clear process to follow. The steps provide a clear process from mapping and analysing the current situation, an analysis of potential suppliers with corresponding criteria, and an analysis of purchased items and bottlenecks in their use within the organisation. This includes a review of the types of Kanban, Kanban loop, supplier preparation for using the system and then the integration of processes to ensure success in its use. Operational issues are comprehensively covered, together with strategic aims and underlying problems that may impact upon success. The above approach can be used to both introduce new suppliers to the system and give assistance to other companies wishing to implement an e-supplier Kanban.

Mobile Applications for Rural India

Some of the most notable rural mobile applications attempt to improve rural livelihood productivity by making information available to farmers and fishermen on market prices, weather forecasts and other critical news, while mobile banking targets the unbanked and under banked rural populations. Corporations which have spearheaded these rural mobile applications have diverse core competence, like Thomson Reuters’ reliable and critical information, Tata Telecom is the leading telecom service provider and Iffco is a premier fertilizer company, EKO and FINO are startups. Do these companies believe that developing mobile applications for rural communities in India is “Innovations at the Bottom of the Pyramid which will be Core Drivers of the next practices” (Pralhad, 2005)? With their initial limited experience of mobile applications for rural India how did these companies set about understanding the needs of the rural people and developing mobile applications? This paper makes an in depth study of two best in class rural mobile application initiatives, i.e., Reuters Market Light and EKO by studying the situation, the actors, and the process. The learning from case study of these two companies is used to develop a framework for successful implementation of rural mobile applications targeted at rural India and strategizes how these can make more of an impacted if scaled up.

Key Recommendations for Developing a Foundation and Framework for Successful Implementation of Performance-Based Contracting: A Case Study of a Child Welfare Lead Agency in Florida

In a child-welfare setting, performance-based contracts can be used to focus practice and drive outcomes. This article describes the results of a case study regarding the use of performance-based contracts between a private, non-profit child welfare lead agency, responsible for the provision of child welfare services in a defined geographic area, and sub-contracted private non-profit case management agencies. Key recommendations for developing a foundation and framework for successful implementation of performance-based contracting are also presented.

A Comparative Study of Critical Quality Factors in Malaysia, Palestine, Saudi Arabia, Kuwait and Libya

There is an increasing awareness about the significance of Total Quality Management (TQM) as a tool for improving work culture and organisational efficiency. However, there is a gap in the understanding of how and why the challenges of consolidating TQM differ from one cultural setting to another. This paper compares and contrasts quality visions and practice in five countries: Malaysia, Palestine, Saudi Arabia, Kuwait and Libya. On the basis of such comparison, the paper proposes a model of international benchmarking for successful implementation of TQM. The paper argues that while the model derives from the cultural settings, corporate conditions, visions and experiences of developing countries (Africa, Middle East and Asia), it potentially carries the making of a generic framework for successful implementation of TQM in other developing countries.

TPM—Total Productive Maintenance: Impact on competitiveness and a framework for successful implementation

AbstractTotal Productive Maintenance (TPM) describes a synergistic relationship among all organizational functions, but particularly between production and maintenance, for continuous improvement of product quality, operational efficiency, capacity assurance, and safety. This article provides the key factors that are critical to the successful implementation of TPM. It is thus crucial to provide and discuss those factors for more effective TPM implementation. Also, this study explores the impact of TPM on the competitiveness of the company. This research concludes that long‐term benefits of TPM are the result of considerable investment in human resource development and management. For TPM practitioners, we advise to build a supportive culture and environment with a strong emphasis on human and organizational aspects to promote effective TPM implementation. © 2001 John Wiley & Sons, Inc.

Total Quality Design: An Approach for Customer Satisfaction in Critical Advanced Technologies

Composites are prime examples of technology moving faster than the underlying science. Faced with increasing global competitiveness, the issues of high cost, product robustness and long lead times associated with product development are emerging in the forefront of problems facing emerging and existing performance‐critical industries, such as in the area of advanced materials. However, the mere use of the new paradigms or philosophies, such as concurrent engineering, is insufficient to guarantee successful completion of the product realization process (PRP). Planning for competitiveness and quality as an integral part of the programme goals and decision process is a key to success. It is essential that clear plans be developed and measurable attributes of performance be identified as early in the design process as possible. The approach described herein provides the framework for successful implementation of an integrated decision‐production system within the basic definition of Total Quality Management (TQM). Discusses the five elements critical to the success of a new technology or product: definition; requirements; benchmarking; concepts; and review.