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Objectives:

This report presents the adaptation of the Consolidated Framework for Implementation Research (CFIR) to three complex system interventions involving (1) process redesign for improved efficiency and reduced costs (PR);(2) patient-centered medical homes (PCMH); and (3) care transitions. The purpose of the adapted frameworks—the PR Framework, PCMH Framework, and Care Transitions Framework—is to guide research on how, why, and where these interventions succeed or fail to achieve intended outcomes.

Data sources:

MEDLINE™. Additional studies were identified through the gray literature and technical experts.

Methods:

The adaptation was informed by the findings from a scan of selected literature on PR, PCMH, and care transitions, which included articles in MEDLINE, the published and gray literature, and recommendations of content experts at the Agency for Healthcare Research and …