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To facilitate GARDE implementation, we applied the Evaluation in Life Cycle of Information Technology framework to 1) identify barriers and facilitators to the implementation of GARDE at five healthcare systems in differing implementation phases, 2) develop implementation strategies to address barriers, and 3) prioritize implementation strategies for implementation toolkit development based on partner-rated feasibility and importance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We facilitated focus group discussions and individual in-depth interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917) at five healthcare systems that have implemented or are implementing GARDE to identify contextual determinants of implementation and strategies to address implementation barriers. We relied on the Evaluation in Life Cycle of Information Technology framework to develop the interview guide and analyze data using rapid qualitative techniques. Our team identified implementation strategies in response to reported barriers. GARDE implementers were surveyed to assess the feasibility and importance of implementation strategies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants at all healthcare systems identified multiple GARDE implementation barriers and facilitators, largely focusing on information technology needs to effectively implement an electronic health record-integrated innovation. Eight implementation strategies were identified as both important and feasible to address identified barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Population health management innovations are a potential solution to healthcare system challenges through cohort identification, patient engagement, and access to relevant healthcare services, but their implementation must meet multiple requirements. This study of an EHR-integrated population health management platform implementation used an Evaluation in Life Cycle of Information Technology -grounded approach to identify implementation barriers and facilitators and implementation strategies to address barriers. An implementation toolkit is being refined to support the implementation and dissemination of population health management platforms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-026-14723-8","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T05:03:54Z","timestamp":1779685434000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An exploratory mixed-methods study using the ELICIT framework to identify stakeholder-informed implementation strategies for a population health platform"],"prefix":"10.1186","volume":"26","author":[{"given":"Anne C.","family":"Madeo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod","family":"Marable","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polina","family":"Kukhareva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy K.","family":"Kohlmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Bradshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"Maxwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Davis-Rivera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Danyal","family":"Ahsan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emerson P.","family":"Borsato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena B.","family":"Elkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Kaphingst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa K.","family":"Frey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi N.","family":"Sharaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensaku","family":"Kawamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme Del","family":"Fiol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsey","family":"Schlechter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin G.","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"14723_CR1","doi-asserted-by":"publisher","unstructured":"Armstrong AC, Evans GD. 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The data will be shared on reasonable request to the corresponding author.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data availability"}},{"value":"This study was reviewed in accordance with 45 CFR 46 (also known as the \u201cCommon Rule\u201d), which aligns with the Declaration of Helsinki, and was determined by the University of Utah Institutional Review Board to be non-human subjects research (IRB_00176563) and, thus, the need for consent to participate was waived. The research team obtained permission, but not informed consent, from all focus group attendees\/interviewees to participate in and record the discussions. Stakeholders were invited to complete the anonymous Implementation Strategy Survey via an emailed cover letter that did not include a formal consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"MF serves as a consultant for WndrHLTH. The remaining authors declare no competing interests related to this manuscript.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"880"}}