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A learning community (LC) is a multidisciplinary group of partners addressing a complex problem. Our LC coproduced the Physical TheraPy frEqueNcy Clinical decIsion support tooL (PT\u2010PENCIL) to guide the use of physical therapist services in acute care hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe our LC's activities to co\u2010produce the PT\u2010PENCIL, use of the iPRISM webtool to assess its preimplementation context and fit, and develop a multicomponent implementation strategy for the PT\u2010PENCIL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive research design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Three tertiary care hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Thirteen LC partners: six clinical physical therapists, three rehabilitation managers, three researchers, and a bioinformaticist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measures<\/jats:title>\n                    <jats:p>Using the iPRISM webtool, expected fit of the PT\u2010PENCIL was rated 1 (not aligned) to 6 (well aligned) for each PRISM domain and expected reach, effectiveness, adoption, implementation, and maintenance were rated 1 (not likely at all) to 6 (very likely). Discrete implementation strategies were identified from the Expert Recommendations for Implementing Change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The process spanned 18 meetings over 8\u2009months. Ten LC partners completed the iPRISM webtool. PRISM domains with the lowest expected alignment were the \u201cimplementation and sustainability infrastructure\u201d (mean\u2009=\u20094.7 out of 6; range\u2009=\u20093\u20136) and the \u201cexternal environment\u201d (mean\u2009=\u20094.9 of 6; range\u2009=\u20094\u20136). Adoption was the outcome with the lowest expected likelihood (mean\u2009=\u20094.5 out of 6; range\u2009=\u20091\u20136). Six discrete implementation strategies were identified and combined into a multicomponent strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within a LC, we used existing implementation science resources to co\u2010produce a novel clinical decision support tool for acute care physical therapists and develop a strategy for its implementation. Our methodology can be replicated for similar projects given the public availability of each resource used.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.13204","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T07:48:33Z","timestamp":1719474513000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Use of the\n                    <scp>iPRISM<\/scp>\n                    webtool in a learning community to assess implementation context and fit of a novel clinical decision support tool for physical therapy triage in acute care hospitals"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7077-232X","authenticated-orcid":false,"given":"Joshua K.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Neurological Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Rehabilitation and Sports Therapy Neurological Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Center for Value\u2010Based Care Research Community Care, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine at Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy, &amp; Practice, School of Public Health Brown University  Providence Rhode Island USA"},{"name":"Long Term Services and Support Center of Innovation (LTSS COIN) Veterans Administration Providence Healthcare System  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy E.","family":"Trinkley","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Lapin","sequence":"additional","affiliation":[{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine at Case Western Reserve University  Cleveland Ohio USA"},{"name":"Department of Quantitative Health Sciences Lerner Research Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Center for Outcomes Research and Evaluation Neurological Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Passek","sequence":"additional","affiliation":[{"name":"Rehabilitation and Sports Therapy Neurological Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Asp","sequence":"additional","affiliation":[{"name":"Rehabilitation and Sports Therapy Neurological Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Ford","sequence":"additional","affiliation":[{"name":"Adult and Child Center for Outcomes Research and Delivery Science University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Borsika A.","family":"Rabin","sequence":"additional","affiliation":[{"name":"Adult and Child Center for Outcomes Research and Delivery Science University of Colorado School of Medicine  Aurora Colorado USA"},{"name":"Herbert Wertheim School of Public Health and Human Longevity Science University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1553\u20107250(08)34030\u20106"},{"key":"e_1_2_9_3_1","unstructured":"TrinkleyKE RabinBA.An interactive visual webtool to guide the pragmatic and iterative use of iPRISM. 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