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Not surprisingly, the transition facility had a score in between the low and high implementation facilities.
The visibility of MOVE! at the high implementation facilities, at least in part enabled through effective communications about the program, fostered a robust rate of referrals from primary care providers at the high implementation facilities.
Limited staff time constrained their ability to meet burgeoning patient demand even at the high implementation facilities.
One outcome of highly effective communications was the coalescing of the MOVE! teams at the high implementation facilities.
The only construct that did not appear to distinguish between low and high implementation facilities was the role of physician champions, suggesting that champions alone are insufficient for overcoming other important barriers.
MOVE! staff at high implementation facilities described a more cohesive team of committed staff, despite the fact that each team member reported to a separate supervisor in separate units.
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Physician champions at three of the study facilities (one high implementation facility, the transition facility, and one low implementation facility) did not have an active role in MOVE!
In one high implementation facility, MOVE! was viewed as a means by which to expand their program and make it even more visible among providers and patients.
Two physician champions, one located at a high implementation facility and one at a low implementation facility, did actively help overcome barriers and provided moral support for their facility's MOVE! coordinator.
For example, the MOVE! coordinator at one high implementation facility worked and communicated closely with primary care providers which enabled medications to be adjusted for patients who lost weight and whose blood sugar levels improved, while delaying the start of new medications when appropriate.
Furthermore, scores for the transition facility fell between low- and high-implementation facilities, reflecting the initial difficulties they had in getting the program implemented tempered by their more recent success in getting a viable program off the ground.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com