Skip to main content

Table 1 Crosswalk of implementation frameworks and the Washington State strategy

From: Advancing the state-level tracking of evidence-based practices: a case study

Consolidated framework Policy ecology framework Washington State
Outer setting Provider organization Hypothesized effects
Patient needs and resources Flexible and enhanced reimbursement Modifier codes tracking provides relatively low burden monitoring for enhanced reimbursement
Peer pressure
External policy and incentives
  Regulatory or purchaser Contracts requiring the reporting of EBP increases awareness and motivation
  Changing contracting Benchmark reporting creates transparency and social pressure to implement
  Collect data Modifier codes create system wide data tracking method on practices
  Enabling legislation Legislation requiring a report of investment and increased use supported a climate of EBP use
Inner setting
 Structural characteristics   Required reporting shifts supervision focus to core elements
 Networks and communications   Workshop and technical assistance on using the guides expands the network of communication
 Culture   Documentation of use in treatment plan and notes increases attention to adherence within the organization
Intervention characteristics
 Intervention source   Eligible training programs are assessed based on their incorporation of evidence-based core elements
 Adaptability   Core elements conducive to the adaptable periphery
 Trialability   The guides attempt to reduce complexity by crosswalking name brand language with core concepts
 Complexity   Focus on core elements simplifies therapeutic concepts
 Cost   The guides support reduced costs by allowing different purveyors to enter the market