1. Diffusion Confusion How Do We Best Bring Interventions to Scale? Summer Research Institute on Developing Behavioral Interventions Baltimore, MD June 2013

2. Where I’m Coming From 2 Socially responsible communications and public relations firm Aging and youth specialties Partnerships with academic innovators including: Leff – Hospital at Home Boult – Guided Care Gitlin – Skills2Care Counsell – GRACE Team Care Boustani – Aging Brain Care Lorig/NCOA – CDSMP

3. Where We’re Going 1.The challenges of implementation, diffusion and scale 2. Elements of successful diffusion efforts in geriatrics 3. Success stories (IMPACT, CAPC, Hospital at Home) 4. Discussion 3

4. Diffusion Challenges 1 The no-system, health care system Skills/expertise deficit Resource deficit What does success look like – for you 4

5. Diffusion Opportunities 1 5 Affordable Care Act Cost and quality pressures Developing understanding of the importance of prevention, community resources Wide range of potential Implementation partners

6. 6 Elements of Successful Diffusion 2 + 1

7. 7 Elements of Successful Diffusion 1.Robust evidence base

8. 8 Elements of Successful Diffusion 2. Community translation/various diffusion sites

9. 9 Elements of Successful Diffusion 3. Compelling end-user business case

10. 10 Elements of Successful Diffusion 4. Comprehensive implementation tools

11. 11 Elements of Successful Diffusion 5. Training and technical assistance

12. 12 Elements of Successful Diffusion 6. Engaging Web presence

13. 13 Elements of Successful Diffusion 7. Protected intellectual property ®

14. 14 Elements of Successful Diffusion 8. Learning community

15. 15 Elements of Successful Diffusion 9. Visible innovator/ spokesperson

16. 16 Elements of Successful Diffusion 10. Policy support/reimbursement

17. 17 Elements of Successful Diffusion 11. Access to capital

18. 18 Elements of Successful Diffusion 2 1.Robust evidence base 2.Community translation/various diffusion sites 3.Compelling end-user business case 4.Comprehensive implementation tools 5.Training and technical assistance 6.Engaging Web presence 7.Protected intellectual property 8.Learning community 9.Visible innovator/spokesperson 10.Policy support/reimbursement 11.Access to capital to support diffusion activities

19. 19 Success Stories 3 Multi-faceted uses IMPACT CAPC Hospital At Home