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In JJ-TRIALS, LCTs used a site-specific implementation action plan to document and plan these goals steps.
A sample implementation action plan is depicted in Table 2. Table 2 Sample implementation action plan developed during the GSS portion of GAT Goal: By April 2017, the site will double its current referral rate to 80% for youth under community supervision who are in need of substance use treatment services.
The implementation action plan acted in the form of a contract among all LCT members and outlined procedures for data utilization to track progress toward goals and goal steps.
For instance, a site with the goal of increasing youth screening could use the implementation action plan to monitor proportions of youth screened or staff trained on screening or data entry procedures.
In JJ-TRIALS, GAT fidelity procedures included a two-day, in-person tutorial on overall study procedures and on delivery of GAT protocol materials (i.e., GSS and DDDM presentation slides, the agency-level feedback report, the implementation action plan template, and activity worksheets).
For three guidelines, the CRNs reported at mid-point that their implementation action plan addressed all clinical recommendations (asthma, DDD and diabetes foot care).
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Learning can be supported by linking policies to implementation actions and expected outcomes, which then in turn can be monitored.
Winter's integrated implementation model [1] and CUPID's implementation actions [8] offer a useful structure for comparing approaches in different cities.
In other words, understand what needs to change, take a sequence of implementation actions and follow through to make the changes sustainable.
However, their treatment in climate adaptation plans at the urban level often lacks sufficient baseline information, as well as convincing implementation actions.
In exchange for being relieved of NCLB's rigid and widely ineffective escalating sanctions, schools and districts would be held accountable through: publicly reporting their implementation actions and results achieved, including assessment data disaggregated by student groups; professional external evaluations; and ultimately, states taking responsibility for intervention where necessary.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com