A Guide to the Implementation Process: Stages, Steps & Activities

This guide is based on a review of the literature of implementation science and the collective experiences of federally funded national centers in conducting state-wide system change initiatives. It describes the following implementation stages: 1) exploration, 2) installation, 3) initial implementation, 4) full implementation, and 5) expansion and scale-up; and provides specific steps and associated activities for each stage. (2014)