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| iPARHIS construct | Key implementation components |
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| Innovation: interRAI COVID-19 vulnerability screener | (i) Create a prescreening script to prepare clients for why the questions are being asked, including having option for clients to call back to complete screening |
| (ii) Outline as a team a postscreening process (e.g., what actions will be taken for clients based on which outputs) |
| (iii) Implement the CVS with software but be prepared to collect information off-line if connectivity issues arise, particularly in rural settings |
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| Recipient–community support services staff | (i) Provide education on using a self-report instrument, including the postscreening process and how to use the reporting features and to involve staff |
| (ii) Practice the prescreening script and CVS among staff prior to implementation to build confidence and troubleshoot process |
| (iii) Ensure staff have knowledge of local health- and social-care supports and have networks of connections to these providers (e.g., who to connect with to address food insecurity) |
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| Recipient–clients | (i) Consider client cognition and engage caregivers in the screening process |
| (ii) Address client apprehension regarding sharing information over the phone by using a prescreening script or send written communication to clients advising them to expect a screening call in the near future |
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| Context–organizational level | (i) Communicate the importance and urgency of screening in a pandemic to all staff from director |
| (ii) Hold regular (e.g., daily at the outset of implementation) short meetings to discuss questions and troubleshoot |
| (iii) Survey the environmental context to remain up to date on public health measures, such as vaccinations, seeking medical care, receiving in-home care. |
| (iv) Provide care coordination of additional supports implemented within and outside of the organization |
| (v) Update information sharing, privacy, and consent tools to include sharing of the CVS as a report within the client’s circle of care (e.g., with primary-care provider) |
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| Facilitation | (i) Appoint staff to be organizational champions who are recognized by peers as leaders to support development of screening and postscreening processes, provide education on CVS, and act as resource |
| (ii) Support organizational champions in their roles |
| (iii) Identify how CVS can be integrated (as opposed to a stand-alone task) into intake, assessment, and follow-up processes |
| (iv) Share examples of high-quality client care that resulted from screening |
| (v) Review and revise (as needed) follow-up processes for clients identified as high risk |
| (vi) Set goals (e.g., number of CVS completed per day) and audit attainment of goals related to implementation process |
| (vii) Provide aggregate results to all staff to understand population being served |
| (viii) Use aggregate data as part of continuous quality improvement activities at organization |
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