Initial Implementation Stage

An implementation stages diagram with the third stage highlighted


  • Special attention to coaching
  • Attention to continuous improvement and rapid cycle problem solving
  • Using decision support data systems (DSDS)

The Initial implementation Stage begins when the new program or practice is first being put to use.

Attempts to implement a new program or innovation often falter (or end) during installation or initial implementation.  This is because everyone is learning and challenges emerge as the status quo is changed.  Key activities during this stage include intensive coaching to help practitioners through this awkward stage. As problems emerge the team develops and engages in strategies to promote continuous improvement and rapid- cycle problem solving. In addition, data are used to assess the quality of implementation, identify problems and solutions, and inform decision making. It is critical to address barriers and develop systemic solutions quickly rather than allowing problems to re-emerge and reoccur.  The processes for doing so are discussed later in the Improvement Cycles section.