““The time required to move from Initial Implementation to Full Implementation will vary depending upon the complexity of the new program model, the baseline infrastructure, the availability of implementation supports and resources, and other contextual factors.”
— Metz & Bartley, 2012


Practice Tips


Here are some fundamental “truths” as you journey through the stages of implementation.  

  • You don’t get to skip any!  You can try, but problems will drag you back to the stage or stage-based activities that you tried to skip.
  • Activities need to match the Stage.  
  • Stages need to be revisited based on changes and turnover (e.g., the providers, practitioners, partners)
  • With multiple initiatives, each one may be at a different stage