The CPG Machine: Building an organization that fosters success
The implementation of Clinical Practice Guidelines is an organizational challenge not a scientific one. It is a challenge that the key players are not well versed in or well equipped for. I advance a philosophy and a framework for the successful organization of the SGH team to successfully implement multiple CPGs and have a vibrant self-sustaining program around each one. The program focuses on getting each member of the group to contribute from their expertise and not be frustrated with obstacles. A worksheet serves as the main planning, communicating and mnemonic device for assisting all the members of the team to collaborate effectively. An accompanying essay/instruction sheet guides the team through the simple and effective establishment of systemic change that can lead to a "machine" in the organization that continues to produce standardized evidence based interventions despite the movement of individuals in and out of the process.