There are shared values, beliefs, and norms around caring, supporting, and addressing the needs and welfare of recipients.

Prioritizing recipient needs within the Inner Setting is important (Dy et al., 2015; Godbee et al., 2020). While the original CFIR highlighted patient centered care, the updated CFIR expands on the patient role to include any recipient who benefits from products or services generated by the Inner Setting. The original CFIR highlighted the key role of improving the health and well-being of patients as the foundational mission of all healthcare entities; many calls have gone out for settings to be more patient centered (Institute of Medicine, 2001; Kochevar & Yano, 2006; Trumbo et al., 2019; Varsi et al., 2015). Patient-centered settings are more likely to implement change effectively (Oswald et al., 2019; Shortell et al., 2004). PRISM delineates six elements that can help guide evaluation of the extent to which patients are at the center of organizational processes and decisions: patient choices are provided, patient barriers are addressed, transition between program elements is seamless, complexity and costs are minimized, and patients have high satisfaction with service and access, and receive feedback (Feldstein & Glasgow, 2008). Patient-centeredness is also at the heart of patient safety culture (Nieva & Sorra, 2003).

Qualitative coding guidelines that are aligned with the Updated CFIR will be added in the future.

As we become aware of measures, we will post them here. Please contact us with updates.

Dy, S. M., Ashok, M., Wines, R. C., & Rojas Smith, L. (2015). A Framework to Guide Implementation Research for Care Transitions Interventions: Journal for Healthcare Quality, 37(1), 41–54.

Feldstein, A. C., & Glasgow, R. E. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Jt Comm J Qual Patient Saf, 34(4), 228–243.

Godbee, K., Gunn, J., Lautenschlager, N. T., & Palmer, V. J. (2020). Refined conceptual model for implementing dementia risk reduction: Incorporating perspectives from Australian general practice. Australian Journal of Primary Health, 26(3), 247.

Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press.

Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care, 12 Suppl 2, ii17-23.

Oswald, J. M., Boswell, J. F., Smith, M., Thompson-Brenner, H., & Brooks, G. (2019). Practice–research integration in the residential treatment of patients with severe eating and comorbid disorders. Psychotherapy, 56(1), 134–148.

Shortell, S. M., Marsteller, J. A., Lin, M., Pearson, M. L., Wu, S. Y., Mendel, P., Cretin, S., & Rosen, M. (2004). The role of perceived team effectiveness in improving chronic illness care. Med Care, 42(11), 1040–1048.

Trumbo, S. P., Iams, W. T., Limper, H. M., Goggins, K., Gibson, J., Oliver, L., Leverenz, D. L., Samuels, L. R., Brady, D. W., & Kripalani, S. (2019). Deimplementation of Routine Chest X-rays in Adult Intensive Care Units. Journal of Hospital Medicine, 14(2), 83–89.

Varsi, C., Ekstedt, M., Gammon, D., & Ruland, C. M. (2015). Using the Consolidated Framework for Implementation Research to Identify Barriers and Facilitators for the Implementation of an Internet-Based Patient-Provider Communication Service in Five Settings: A Qualitative Study. Journal of Medical Internet Research, 17(11), e262.