ArticleImplementation science : IS2018
Testing the organizational theory of innovation implementation effectiveness in a community pharmacy medication management program: a hurdle regression analysis.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial.Journal of acquired immune deficiency syndromes (1999) · 2022Trial
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- The Role of Implementation Climate in Moderating Educator Use of Evidence-Based Practices and Outcomes for Autistic Students.Journal of autism and developmental disorders · 2025Observational
- Evaluating patient-reported adherence and outcomes in specialty disease states: A dual-site initiative.Journal of managed care & specialty pharmacy · 2024Article
- Individual-level associations between implementation leadership, climate, and anticipated outcomes: a time-lagged mediation analysis.Implementation science communications · 2023Article
- Aligning Organizational Priorities and System Policies to Support Implementation Scale-Up of a Tailored Classroom-Based Physical Activity Intervention in Low-Resource Schools.The Journal of school health · 2023Article
- Measuring implementation climate: psychometric properties of the Implementation Climate Scale (ICS) in Norwegian mental health care services.BMC health services research · 2022Article
- The Tennessee Medicaid medication therapy management program: early stage contextual factors and implementation outcomes.BMC health services research · 2021Article
- What Influences Sustainment and Nonsustainment of Facilitation Activities in Implementation? Analysis of Organizational Factors in Hospitals Implementing TeamSTEPPS.Medical care research and review : MCRR · 2021Article
- Unit-level variation in bed alarm use in US hospitals.Research in nursing & health · 2020Observational
- Implementation and Effectiveness of an Interprofessional Support Program for Patients with Type 2 Diabetes in Swiss Primary Care: A Study Protocol.Pharmacy (Basel, Switzerland) · 2020Article
- Article
- Leveraging implementation science to improve implementation outcomes in precision medicine.American journal of translational research · 2020Review
- Elucidating the influence of supervisors' roles on implementation climate.Implementation science : IS · 2019Article
- Training and Toolkit Resources to Support Implementation of a Community Pharmacy Fall Prevention Service.Pharmacy (Basel, Switzerland) · 2019Article
- Ensuring intervention success: Assessing fit as an overlooked step of the implementation process.Pharmacy practiceArticle
- Implementation leadership and implementation climate in context: A single organization intrinsic case study for implementation of digital measurement-based care.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundMany state Medicaid programs are implementing pharmacist-led medication management programs to improve outcomes for high-risk beneficiaries. There are a limited number of studies examining implementation of these programs, making it difficult to assess why program outcomes might vary across organizations. To address this, we tested the applicability of the organizational theory of innovation implementation effectiveness to examine implementation of a community pharmacy Medicaid medication management program.
methodsWe used a hurdle regression model to examine whether organizational determinants, such as implementation climate and innovation-values fit, were associated with effective implementation. We defined effective implementation in two ways: implementation versus non-implementation and program reach (i.e., the proportion of the target population that received the intervention). Data sources included an implementation survey administered to participating community pharmacies and administrative data.
resultsThe findings suggest that implementation climate is positively and significantly associated with implementation versus non-implementation (AME = 2.65, p < 0.001) and with program reach (AME = 5.05, p = 0.001). Similarly, the results suggest that innovation-values fit is positively and significantly associated with implementation (AME = 2.17, p = 0.037) and program reach (AME = 11.79, p < 0.001). Some structural characteristics, such as having a clinical pharmacist on staff, were significant predictors of implementation and program reach whereas other characteristics, such as pharmacy type or prescription volume, were not.
conclusionsOur study supported the use of the organizational theory of innovation implementation effectiveness to identify organizational determinants that are associated with effective implementation (e.g., implementation climate and innovation-values fit). Unlike broader environmental factors or structural characteristics (e.g., pharmacy type), implementation climate and innovation-values fit are modifiable factors and can be targeted through intervention-a finding that is important for community pharmacy practice. Additional research is needed to determine what implementation strategies can be used by community pharmacy leaders and practitioners to develop a positive implementation climate and innovation-values fit for medication management programs.
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