Background Those attempting to implement changes in health care settings often find that
intervention efforts do not progress as expected. Unexpected outcomes are often attributed to …

Article-at-a-Glance Background Understanding the role of relationships in health care
organizations (HCOs) offers opportunities for shaping health care delivery. When quality is treated …

Background A gap continues to exist between what is known to be effective and what is actually
delivered in the usual course of medical care. The goal of implementation research is to …

Background: Health care huddles are increasingly employed in a range of formats but
theoretical mechanisms underlying huddles remain relatively uncharted. Purpose: A complexity …

Background: Recent research from a complexity theory perspective suggests that implementation
of complex models of care, such as the Chronic Care Model (CCM), requires strong …

Importance As opioid-related deaths continue to climb, methods to reduce barriers to
prescribing buprenorphine for individuals with opioid use disorder (OUD) are needed. Recent …

Background Practice facilitation (PF) is an implementation strategy now commonly used in
primary care settings for improvement initiatives. PF occurs when a trained external facilitator …

Background Despite considerable financial incentives for adoption, there is little evidence
available about providers’ use and satisfaction with key functions of electronic health records (…

Background The application of complexity science to understanding healthcare system
improvement highlights the need to consider interdependencies within the system. One important …

Rationale, aims and objectives The concept of emergence offers a new way of thinking about
multimorbidity and chronic disease. Results and conclusions Multimorbidity and chronic …