The goal of the 3^rd SIRC conference was to explore key efficiency issues, how to use available and affordable tools, and research design and statistical solutions to advance efficient methodologies through community partnerships and team science.  

Key efficiency issues:

• Managing fidelity and supervision for multiple EBPs in one setting
• Models/methods for reducing staff turnover
• Training efficiency: How low can you go? Or how can you do it differently to keep the bar high?
• Looking beyond training – feasible models and methods that implement and sustain EBPs for the long term
• Community-led evaluations (engaging stakeholders to reduce burden and increase relevance)
• Matching models of implementation to system needs and capacities
  
  

Using Available and Affordable Tools

• Use of electronic health records, administrative data, progress monitoring, or other existing program resources to promote evaluation
• (Continuous) Quality Improvement or examples of iterative small scale trials of change
• Use of decision support tools
• Use of computer-based/online implementation methodologies
• Technological solutions: Machine learning, textual analysis, strategies for managing big data
  
  

Research Design and Statistical Solutions:

• Adaptive and SMART designs
• Analysis of qualitative data
• Hybrid designs (effectiveness-implementation hybrids)
• Methods that can rapidly inform health care practice