|
SUSTAINMENT BARRIERS
|
|
Outer Context
|
|
Service-Environment
|
|
Medicaid coverage & reimbursement
|
4 (50.0)
|
4 (50.0)
|
|
Rely on continued funding
|
3 (37.5)
|
X
|
|
Infrastructure
|
2 (25.0)
|
3 (37.5)
|
|
Inter-organizational
|
|
Reduced timeframes
|
4 (50.0)
|
X
|
|
Opioid-specific funding cliff
|
3 (37.5)
|
X
|
|
Opioid-specific data collection
|
2 (25.0)
|
X
|
|
Inner Context
|
|
Intra-organizational
|
|
Costs to integrate services
|
3 (37.5)
|
4 (50.0)
|
|
Lack of adequate workforce
|
2 (25.0)
|
3 (37.5)
|
|
Individual† Adopter Characteristics
|
|
Competing priorities
|
3 (37.5)
|
5 (62.5)
|
|
Shifting priorities
|
X
|
2 (25.0)
|
|
SUSTAINMENT FACILITIATORS
|
|
Outer Context
|
|
Inter-organizational
|
|
Positioning within the state
|
8 (100.0)
|
4 (50.0)
|
|
Access to governor office
|
3 (37.5)
|
X
|
|
Access to Medicaid office
|
6 (75.0)
|
X
|
|
Professional networks
|
X
|
3 (37.5)
|
|
Consumer Support/Advocacy
|
|
External pressure/public support
|
2 (25.0)
|
3 (37.5)
|
|
Service-Environment
|
|
Flexibility in spending
|
2 (25.0)
|
2 (25.0)
|
|
Technical assistance
|
3 (37.5)
|
1 (12.5)
|
|
Inner Context
|
|
Intra-organizational
|
|
Strategic planning
|
6 (75.0)
|
4 (50.0)
|
|
Demonstration of outcomes
|
1 (12.5)
|
X
|
