CFIR

How can you demonstrate your organisation's integrity?

What kind of evidence do you have of the innovation's effectiveness?

In what way(s) is the innovation better than existing solutions?

How can the innovation be adapted to a local context?

How did the innovation stand up to trialing?

How complex is the innovation?

How is the innovation designed?

What is the overall cost of the innovation?

What has disrupted implementation of the innovation?

Which external values encourage the support of implementing the innovation?

What external conditions support implementation of the innovation?

What kinds of external networks support the implementation of the innovation?

What kinds of policies support the implementation of the innovation? 

What kind of external funding sources exist to help wiwth implementation of the innovation? 

What kinds of external pressures drive implementation of the innovation?

Who are the competitors that drive implementation of the innovation?

What measures drive implementation of the innovation?

How does the internal physical setting support implementation of the innovation?

How does the available tech support performance during the implementation of the innovation?

How does the organisation of tasks support performance during the implementation of the innovation?

How would you describe the relationships that exist in the implementation environment?

How is information shared within the implementation environment?

How are human beings valued within the implementation environment?

How are recipients of the innovation valued within the implementation environment?

How are innovation deliverers valued within the implementation environment?

How is learning from experience valued within the implementation environment?

What is the level of urgency for this innovation?

How does the innovation fit the context of the implementation environment?

How well does the innovation address the needs of the implementation environment?

What are the rewards for using the innovation?

How does the innovation fit the mission of the implementation environment?

How much funding is available to implement the innovation?

How much space is available to implement the innovation?

What supplies are available to implement the innovation?

What guidance is available for implementing the innovation?

Who has a high level of authority in decision-making?

Who supports those with high levels of authority?

Who has informal influence?

Who has expertise to support implementation?

Who leads efforts to implement?

Who are the innovation implementors?

Who supports the implementors?

Who delivers the innovation?

Who receives the innovation?

What need does the innovation fulfil for an individual recipient?

What abilities does an individual have that will fulfill their role?

What opportunities does an individual have to fulfill their role?

How does an individual demonstrate they are committed to fulfilling their role?

How do you make teams for implementation?

What kind of information have you collected about the characteristics of your innovation deliverers?

What kind of information have you collected about the characteristics of your innovation recipients?

What kind of information have you collected about the context for implementation?

How have you planned for successful implementation?

How have you chosen strategies for implementation?

How have you engaged innovation deliverers to participate?

How have you enagaged innovation recipients to participate?

How are you optimising implementation?

How are you interpreting feedback about the success of implementation?

How are you interpreting feedback about the success of the innovation?

How are you making modifications based on the feedback you have received?

1. Innovation Source - the group that developed and/or visibly sponsored use of the innovation is reputable, credible, and/or trustable.

2. Innovation Evidence Base - the innovation has robust evidence supporting its effectiveness.

3. Innovation Relative Advantage - the innovation is better than other available innovations or current practice.

4. Innovation Adaptability - the innovation can be modified, tailored, or refined to fit local context or needs.

5. Innovation Trialability - the innovation can be tested or piloted on a small scale and undone.

6. Innovation Complexity - the innovation is complicated, which may be reflected by its scope and/or the nature and number of connections and steps.

7. Innovation Design - the innovation is well designed and packaged, including how it is assembled, bundled, and presented.

8. Innovation Cost - the innovation purchase and operating costs are affordable.

9. Critical Incidents - large-scale and/or unanticipated events disrupt implementation and/or delivery of the innovation.

10. Local Attitudes - sociocultural values (e.g., shared responsibility in helping recipients) and beliefs (e.g., convictions about the worthiness of recipients) encourage the Outer Setting to support implementation and/or delivery of the innovation.

11. Local Conditions - economic, environmental, political, and/or technological conditions enable the Outer Setting to support implementation and/or delivery of the innovation.

12. Partnerships - the Inner Setting is networked with external entities, including referral networks, academic affiliations, and professional organisation networks.

13. Policies - legislation, regulations, professional group guidelines and recommendations, or accreditation standards support implementation and/or delivery of the innovation.

14. Financing - funding from external entities (e.g., grants, reimbursement) is available to implement and/or deliver the innovation.

15. Societal Pressure - mass media campaigns, advocacy groups, or social movements or protests drive implementation and/or delivery of the innovation.

16. Market Pressure - competing with and/or imitating peer entities drives implementation and/or delivery of the innovation.

17. Performance Measurement Pressure - quality or benchmarking metrics or established service goals drive implementation and/or delivery of the innovation.

18. Physical Infrastructure - layout and configuration of space and other tangible material features support functional performance of the Inner Setting.

19. Information Technology - technological systems for tele-communication, electronic documentation, and data storage, management, reporting, and analysis support functional performance of the Inner Setting.

20. Work Infrastructure - organisation of tasks and responsibilities within and between individuals and teams, and general staffing levels, support functional performance of the Inner Setting.

21. Relational Connections - there are high quality formal and informal relationships, networks, and teams within and across Inner Setting boundaries (e.g., structural, professional).

22. Communications - there are high quality formal and informal information sharing practices within and across Inner Setting boundaries (e.g., structural, professional).

23. Human Equality - there are shared values, beliefs, and norms about the inherent equal worth and value of all human beings.

24. Recipient Centeredness - there are shared values, beliefs, and norms around caring, supporting, and addressing the needs and welfare of recipients.

25. Deliverer Centeredness - there are shared values, beliefs, and norms around caring, supporting, and addressing the needs and welfare of deliverers.

26. Learning Centeredness - there are shared values, beliefs, and norms around psychological safety, continual improvement, and using data to inform practice.

27. Tension For Change - the current situation is intolerable and needs to change.

28. Compatability - the innovation fits with workflows, systems, and processes.

29. Relative Priority - implementing and delivering the innovation is important compared to other initiatives.

30. Incentive Systems - tangible and/or intangible incentives and rewards and/or disincentives and punishments support implementation and delivery of the innovation.

31. Mission Alignment - implementing and delivering the innovation is in line with the overarching commitment, purpose, or goals in the Inner Setting.

32. Funding - funding is available to implement and deliver the innovation.

33. Space - physical space is available to implement and deliver the innovation.

34. Materials - supplies are available to implement and deliver the innovation.

35. Access To Knowledge - guidance and/or training is accessible to implement and deliver the innovation.

36. High-Level Leadership - individuals with a high level of authority, including key decision-makers, executive leaders, or directors.

37. Mid-Level Leadership - individuals with a moderate level of authority, including leaders supervised by a high-level leader and who supervise others.

38. Opinion Leaders - individuals with informal influence on the attitudes and behaviours of others.

39. Implementation Facilitators - individuals with subject matter expertise who assist, coach, or support implementation.

40. Implementation Leads - individuals who lead efforts to implement the innovation.

41. Implementation Team Members - individuals who collaborate with and support the Implementation Leads to implement the innovation, ideally including Innovation Deliverers and Recipients.

42. Other Implementation Support - individuals who support the Implementation Leads and/or Implementation Team Members to implement the innovation.

43. Innovation Deliverers - individuals who are directly or indirectly delivering the innovation.

44. Innovation Recipients - individuals who are directly or indirectly receiving the innovation.

45. Need - the individual(s) has deficits related to survival, well-being, or personal fulfilment, which will be addressed by implementation and/or delivery of the innovation.

46. Capability - the individual(s) has interpersonal competence, knowledge, and skills to fulfil Role.

47. Opportunity - the individual(s) has availability, scope, and power to fulfil Role.

48. Motivation - the individual(s) is committed to fulfilling Role.

49. Teaming - join together, intentionally coordinating and collaborating on interdependent tasks, to implement the innovation.

50. Innovation Deliverers Needs Assessment - collect information about the priorities, preferences, and needs of deliverers to guide implementation and delivery of the innovation.

51. Innovation Recipients Needs Assessment - collect information about the priorities, preferences, and needs of recipients to guide implementation and delivery of the innovation.

52. Assessing Context - collect information to identify and appraise barriers and facilitators to implementation and delivery of the innovation.

53. Planning - identify roles and responsibilities, outline specific steps and milestones, and define goals and measures for implementation success in advance.

54. Tailoring Strategies - choose and operationalise implementation strategies to address barriers, leverage facilitators, and fit context.

55. Engaging Innovation Deliverers - attract and encourage deliverers to serve on the implementation team and/or to deliver the innovation.

56. Engaging Innovation Recipients - attract and encourage recipients to serve on the implementation team and/or participate in the innovation.

57. Doing - implement in small steps, tests, or cycles of change to trial and cumulatively optimise delivery of the innovation.

58. Reflecting On Implementation - collect and discuss quantitative and qualitative information about the success of implementation.

59. Reflecting On Innovation - collect and discuss quantitative and qualitative information about the success of the innovation.

60. Adapting - modify the innovation and/or the Inner Setting for optimal fit and integration into work processes.