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  • Engaging with 5 HCs, 1 state PCA and 1 CBO

  • 4 states

  • Cultural adaptations and sustainability prioritization of evidence-based intensive programs for family healthy weight utilizing Implementation Science principles

    • Building new evidence to inform further scale and spread within HCs

  • Evaluation includes:

    • Reach, Equity, Effectiveness, Adoption, Implementation, Maintenance

    • Health behavior change

    • Health knowledge

    • Weight-related Quality of Life

    • Change in weight, BMI and BMI trajectory

    • Weight-related comorbidities: hypertension, prediabetes, and fatty liver

...

Measures

...

Reach

o   “touches”

o   Addressing ongoing barriers

o   EQUITY

Effectiveness

o   BMI and BP trajectories

o   Labs

o   Pt, family, and staff satisfaction

Adoption

o   Intervention details

o   Staffing models

Implementation

o   INNOVATION tracking

o   Implementation strategies (feeds into reach and effectiveness)

Maintenance

o   Reimbursement models

o   Individual technical assistance

o   Sustainability framework

o   Facilitation guide

...

Outward Facing Resources/Content

...

Learning community

  • Repeat national Learning Series

  • Care Cascade – evidence-based strategies for prevention and treatment 0-18

  • Micro-learnings

  • Pilot local implementation (state PCA?)

Products

  • NACHC Facilitation Guide for PWMIs in FQHCs

  • Dissemination

o   Manuscript – D&I experience with COMMIT (lit review done)

o   Presentations, posters, panels

Draft timeline of opportunities: by January 2023

  • Celebration of excellence

o   Highlight local health centers with NACHC/CDC site visits + awards

...

Timeline and responsibilities

...

Implementation tasks

Aug-22

Sep-22

Oct-22

Nov-22

Dec-22

Jan-23

Feb-23

Mar-23

Apr-23

May-23

Jun-23

Jul-23

Year 4 PCA/HC harvest reports

X

X

 

 

 

 

 

 

 

 

 

 

Year 4 data review + outcomes evaluation

X

X

 

 

 

 

 

 

 

 

 

 

Year 4 evaluation summary - Dissemination and Implementation Science

X

X

 

 

 

 

 

 

 

 

 

 

COMMIT legacy teams year 5 planning

 

 

 

 

 

 

 

 

 

 

 

 

Year 5 prioritization: Reach, Equity, Sustainability, Dissemination

 

 

 

 

 

 

 

 

 

 

 

 

Year 5 Implementation Strategies

 

 

 

 

 

 

 

 

 

 

 

 

COMMIT Implementation strategy mapping to Learning Series opportunities

 

 

 

 

 

 

 

 

 

 

 

 

Sustainability: community partners, reimbursement models, etc (sustainability framework)

 

 

 

 

 

 

 

 

 

 

 

 

Year 5 Legacy team - Implementation cohorts and All Teams Calls

 

 

 

 

 

 

 

 

 

 

 

 

COMMIT legacy teams: D&I best practices, creation of master facilitation guide

 

 

 

 

 

 

 

 

 

 

 

 

Effectiveness: patient, caregiver, and staff satisfaction (planning and evaluation)

 

 

 

 

 

 

 

 

 

 

 

 

Dissemination - manuscript writing

 

 

 

 

 

 

 

 

 

 

 

 

Dissemination - presentations, posters, panels

 

 

 

 

 

 

 

 

 

 

 

 

Celebrations and excellence - site visits, NACHC/CDC recognition

 

 

 

 

 

 

 

 

 

 

 

 

Year 1-5 HARVEST

 

 

 

 

 

 

 

 

 

 

 

 

...