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Outer

Setting

Characterisitcs

of

Individuals

Characteristics of Individuals:

Personal attributes of individuals involved in the implementation.

  • Knowledge and Beliefs about Intervention: Educate providers on the importance and benefits of the training program.

  • Self-efficacy: Build confidence among providers in their ability to apply new knowledge and skills.

Outer Setting:

External factors such as patient needs and external policies

  • Patient Needs and Resources: Align the training program with the needs of Medicaid recipients and regulatory requirements.
  • External Policies and Incentives: Leverage state policies and incentives to encourage provider participation.

Intervention

Characteristics

Intervention Characteristics:

Attributes of the intervention being implemented.

  • Evidence Strength and Quality: Ensure the training content is backed by strong evidence and best practices in business acuity and forensic accounting.
  • Relative Advantage: Emphasize the benefits of improved financial health and sustainability for HCBS providers compared to their current state.
  • Adaptability: Customize the training modules to fit the specific needs and contexts of different HCBS providers.
  • Complexity: Simplify complex financial and business concepts for ease of understanding and application by providers.
  • Design Quality and Packaging: Develop high-quality, engaging training materials and resources.

Inner

Setting

Process

Process:

Implementation strategies, engagement, and adaptation over time.

  • Planning: Develop a detailed implementation plan with clear milestones and timelines.

  • Engagement: Actively involve providers in the planning and implementation process to ensure buy-in.

  • Execution: Monitor the delivery of training and provide ongoing support.

  • Reflection and Evaluation: Continuously assess the effectiveness of the training and make necessary adjustments.

Inner Setting:

Organizational factors like culture, structure, and readiness for change.

  • Structural Characteristics: Assess the organizational structure and readiness of HCBS providers to implement new business practices.

  • Networks and Communication: Establish strong communication channels among stakeholders (e.g., DHS, providers, Arkansas State University).

  • Implementation Climate: Foster a supportive environment for change through leadership engagement and a culture that values continuous improvement.
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