Cutrona, Sarah LWhite, LindsayMiano, DanielleDamschroder, Laura JHogan, Timothy PGifford, Allen LWhite, BrandolynKing, Heather AOpra Widerquist, Marilla AOrvek, ElizabethDeLaughter, KathrynNevedal, Andrea LReardon, Caitlin MHenderson, BlakeVega, RyanJackson, George L2023-10-112023-10-112023-08-07Cutrona SL, White L, Miano D, Damschroder LJ, Hogan TP, Gifford AL, White B, King HA, Opra Widerquist MA, Orvek E, DeLaughter K, Nevedal AL, Reardon CM, Henderson B, Vega R, Jackson GL. Supporting Veteran's Administration Medical Center Directors' Decisions When Adopting Innovative Practices: Development and Implementation of the "QuickView" and "WishList" Tools. Perm J. 2023 Sep 15;27(3):79-91. doi: 10.7812/TPP/23.008. Epub 2023 Aug 7. PMID: 37545198; PMCID: PMC10502382.1552-577510.7812/TPP/23.00837545198https://hdl.handle.net/20.500.14038/52622BACKGROUND: Since 2015, the Veterans Health Administration (VHA) Diffusion of Excellence Program has supported spread of practices developed by frontline employees. Shark Tank–style competitions encourage “Sharks” nationwide (VHA medical center/regional directors) to bid for the opportunity to implement practices at their institutions. METHODS: The authors evaluated bidding strategies (2016–2020), developing the “QuickView” practice comparator to promote informed bidding. Program leaders distributed QuickView and revised versions in subsequent competitions. Our team utilized in- person observation, online chats after the competition, bidder interviews, and bid analysis to evaluate QuickView use. Bids were ranked based on demonstrated understanding of resources required for practice implementation. RESULTS: Sharks stated that QuickView supported preparation before the competition and suggested improvements. Our revised tool reported necessary staff time and incorporated a “WishList” from practice finalists detailing minimum requirements for successful implementation. Bids from later years reflected increased review of facilities’ current states before the competition and increased understanding of the resources needed for implementation. Percentage of bids describing local need for the practice rose from 2016 to 2020: 4.7% (6/127); 62.1% (54/87); 78.3% (36/46); 80.6% (29/36); 89.7% (26/29). Percentage of bids committing specific resources rose following QuickView introduction: 81.1% (103/127) in 2016, 69.0% (60/87) in 2017, then 73.9% (34/46) in 2018, 88.9% (32/36) in 2019, and 89.7% (26/29) in 2020. DISCUSSION: In the years following QuickView/WishList implementation, bids reflected increased assessment before the competition of both local needs and available resources. CONCLUSION: Selection of a new practice for implementation requires an understanding of local need, necessary resources, and fit. QuickView and WishList appear to support these determinations.enCopyright Information © 2023 The Authors. Published by The Permanente Federation LLC under the terms of the CC BY-NC- ND 4.0 license https:// creativecommons.org/licenses/by-nc-nd/4.0/.Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Journal ArticleThe Permanente journal