Improving Systems, Practices, and Outcomes

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Examples of Applying Implementation Science to State System Change

These hypothetical examples of state system change are based on our experiences with states’ work on similar initiatives. Each example is structured and presented by the stages, steps and activities suggested by Considerations for Implementing Systemic Change.

Finance: Implementation of a Family Cost Participation Program

This example illustrates a change in family cost participation and demonstrates an extensive change that involved many people, extensive coordination and changes in policy and procedures at state and local levels.

Governance: Promulgating State Rules

This example illustrates a state-led effort with most of the implementation work accomplished by a state team. Therefore, the example is shorter, involving fewer stages, steps and activities.