Implementation and system change phase:
The core question at this phase is not:
“Does it work?”
It is:
“How does this innovation move into real systems?”
In this phase, the IO project:
Identified specific knowledge users (paramedic services, hospital units, rural physician networks)
Differentiated stakeholder needs (cost, workflow, scalability, throughput)
Tailored messaging and deployment logic accordingly
Used early adoption signals as "traction" — not proof of impact
Translation is not dissemination.
It requires:
Knowledge-user specificity
Evidence that supports the proposed use
Feedback loops for refinement