Capacity/Readiness Assessment
Toolkit Home | Phase 1 | Phase 2 | Phase 3 | Phase 4 | Phase 1 Action Steps
Now that the implementation team knows what resources are available (step 1) and how the innovation could fit within the operational site (step 2), they will then need to determine whether the organization has enough resource to successfully implement the innovation successfully.
​
For this step, the implementation team seeks to determine whether:
​
-
The team is ready for implementation;
-
The organization or community has the resources, skills, motivation, and will to implement the innovation;
-
The organization or community is ready for change.
Tools to use during the Capacity/Readiness Assessment phase:
ORIC
The Organizational Readiness for Implementing Change (ORIC) is a short, theory-based, validated instrument that measures whether an organization’s members are psychologically and behaviorally ready to implement new interventions, programs, or policies. The 12 item instrument measures change commitment, or the teams shared resolved to implement a change, and change efficacy, their collective capacity to implement that change.
​
Shea, C.M., Jacobs, S.R., Esserman, D.A. et al. Organizational readiness for implementing change: a psychometric assessment of a new measure. Implementation Sci 9, 7 (2014). https://doi.org/10.1186/1748-5908-9-7.​
Who should use ORIC?
The survey is useful for most teams starting implementation projects. It is specifically useful for teams that maybe newly formed without much baseline information on the climate of that team (or organization as a whole). It would also be beneficial for teams to fill out the survey if the organization has not done recent climate surveys.
​
How does the tool help with Implementation?
Assessing an organization's readiness to implement a change is critical for the early stages of the implementation planning process. The team needs to complete the assessment early in the planning process to know if they need to take additional steps to boost a low ORIC score. For when organizational readiness is high, the team is more likely to initiate change, they will put in more effort and stick with the change strategy for longer.
​
ORIC is helpful after teams have filled in the Hexagon tool where they are prompted to think about general information on readiness. ORIC should also be taken multiple times throughout the implementation process to check to see if improvements have been made.
​
Resources recommended:
Time: The survey is designed to not be time intensive but to quickly capture the teams' assessment of their organizational readiness. Time light resource.
​
People: People from across the team or organization should all take the survey. Either as a group or individually and their results collected and aggregated. Personnel medium resource.
​
Funding: The major cost of this resource is personnel time. Funding light resource.
​
-
-
For more information on the tool itself and how to use it. The slide deck includes descriptions, survey questions, and an example.
-
​
Project Charter
In general, project charters are formal documents that outline the work to be done in a project, including the details that define the scope, timeline, and people involved. The project charter allows the team to agree on description and details that will help them start the project on the same page with a coherent plan.
The Modified Project Charter incorporates outcomes for successful implementation, the risks associated with them and potential mitigation strategies. This section replaces the original “Project Risks and Mitigation” section. ​The implementation outcome questions are based on Acceptability, Feasibility, Adoption, Fidelity and Penetration. If the implementation outcome is not being achieved, the team can identify factors affecting it (environmental, organizational, provider or recipient related) and potential strategies to mitigate them.
Who should use Project Charter?
Any team starting a project would benefit from filling out a project charter. We recommend all teams using the Implementation Toolkit to fill out the project charter as a part of the preparation stages.
​
How does the tool help with Implementation?
Project charters help teams clearly define their project and what they will need from their organization(s) to make it successful, which helps inform the rest of the implementation process.
​
Resources recommended:
Time: The project charter itself should not take too much time to fill out. The conversations and planning that must take place before filling out the charter can be time consuming. The charter helps frame these initial conversations that should be happening with any new project. Time medium resource.
​
People: Most of the project charter will be filled out by the central planning team, however they may need input or commitment from a wide range of stakeholders as they fill in the roles and responsibilities section. Personnel light resource.
​
Funding: The only cost for the tool itself is the personnel time to fill it out. Funding light resource.
​
-
-
The original CCHMC Project Charter with the additional outcomes and modified roles section. Each modification is accompanied by a brief description in the document itself.
-
​
-
Outcomes Modification Description
-
Description of the Outcome addition to the Project Charter, describing the modification, how it can be filled out, and the value it adds to the process.
-
​
Hexagon Tools
The Hexagon tool is a self-assessment tool encompassing six dimensions of how an intervention can fit to the context of an innovation or intervention, including evidence, resources and support, usability, need, fit, and capacity. The tool adapted from the National Implementation Research Network, is designed to help facilitate discussion between the development team and key stakeholders of an implementation project and allow the group to rate their teams' capacity in each dimension.
Who should use the hexagon tool?
Teams looking to assess a new or existing program that is being used in a different context. The tool is meant to be used in collaboration with main planning team along with broader collaborators to incorporate diverse perspectives.
​
How does the tool help with Implementation?
The Hexagon tool allows teams to assess the fit of a program to an implementation context. Through conversations facilitated by the hexagon tools, teams can assess their project through the first three steps of the QIF: needs and resources assessment, fit assessment, and capacity/readiness assessment.
​
Resources recommended:
Time: The Hexagon Tool is a comprehensive assessment contextual assessment tool. To get the most benefit out for the tool, every major stakeholder should meet, discuss and fill out the form together. The planning team would need to find, analyze and share relevant data. Time heavy resource.
​
People: The full benefit of the Hexagon Tool is when stakeholders from across the problem come together to fill out the tool. Ideal all aspects and sites of the project would have a representative in addition to the planning team. Personnel heavy resource.
​
Funding: The major cost of this resource is personnel time. Funding medium resource.
​
-
-
The full hexagon tool adapted to the needs of Cincinnati Children's Hospital. The first page is the QIF toolkit coversheet, which outlines the Goal/Purpose, Descrption, QIF Application, and Sources. The template includes instructions along with the form itself that teams can fill in while they discuss each component. To fill out the form, Open the template. Click "File". Click "More File Options" (...). Select "Download Copy".
-
​
-
Hexagon Tool Instructions
-
For more details on how to use each the Hexagon Tools, see instructions from NIRN.
-
​