BELOW IS A LIST OF outer CONTEXT VARIABLES WITH DEFINITIONS, EXAMPLES AND QUANTITATIVE MEASURES THAT CAN BE USED TO assess THE VARIABLE. CLICK ON THE NAME OF THE MEASURE TO SEE THE ASSOCIATED ARTICLE.

Service Environment

Definition: State and federal sociopolitical and economic contexts that influence the process of implementation and delivery/use of the innovation.

Examples: Policies; legislation; monitoring and review; auditing; mandates

Example Quantitative Measures: Sustainability Assessment Tool, EBP-specific document review (i.e., speeches, regulations, annual reports; Documented system-wide policy

Funding

Definition: Fiscal support provided by the system in which implementation occurs. Fiscal support can target multiple levels (e.g., staff training, fidelity monitoring, provision of the innovation/EBP) involved in implementation and delivery/use of the innovation.

Examples: Contracting arrangements; Grants; Fee-for service, addition to formulary; Capitation fees, incentives.

Leadership

Definition: Characteristics and behaviors of key decision-makers pertinent at all levels who are necessary but not sufficient to facilitate or promote the implementation process and delivery/use of the innovation.

Examples: Transformational leadership; Implementation leadership

Example Quantitative Measures: Leadership Competence Scale of Program Sustainability Index

Inter-organizational Environment & Networks

Definition: Relationships of professional organizations through which knowledge of the innovation/EBP is shared and/or goals related to the innovation/EBP implementation are developed/established.

Examples: Inter-organizational collaboration, commitment, competition, co-opetition

Patient/Client Characteristics

Definition:Demographics and individual characteristics of the target population/end user.

Examples: Socioeconomic status, health condition, comorbidities, age, gender, motivation

Example Quantitative Measures: Demographics, Administrative Claims Data

Patient/Client Advocacy

Definition: Support or marketing for system change based on consumer needs, priorities and/or demographics.

Examples: Client advocacy; class-action lawsuits, consumer organizations