Guidelines and Multi-level
Strategies
to Enhance
Dissemination
and Public Health Impact
RE-AIM
Dimension |
Individual Target Level |
Delivery Site or Organization |
Systems or Network Level |
Reach
|
Compare characteristics of participants to non-participants or
population
Use multiple channels
|
Information mailed, in exam room, waiting rooms
Use all staff to recommend |
Incentives for screening
Pair advice with usual contacts
|
Effectiveness
|
Tailor
to individual
Stepped care
Outreach components
Evolve over time |
Report
at each contact
Proactive planning
Record goals
Elicit patient barriers and concerns |
Public
feedback
Adopt goals as part of organizational mission
CQI
Collaborate/network |
Adoption
|
Elicit
consumer demand
Publicize status of various organizations |
Flexible
program that can be customized
Optional components or modules
Present data on cost effectiveness |
Make
top priority for system
Release or remove other competing demands
Trial adoption |
Implementation
|
Publicize
consumer guidelines |
Feedback
on implementation
Involve many staff
Prompt staff behaviors
Automate for consistency |
Public
recognition, reinforcement, and rewards for staff
Fine tune, experiment, revise |
Maintenance
|
Take-home
messages
Publicize importance of re-screening
Schedule follow-up
Provide advocacy opportunities for patients |
Ensure
follow-up
Outreach for those not involved
Feedback on re-screening rates
|
Automate
and institutionalize reports
Publicize results
Commit to national or state organizations
|
