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“The social network mapping concept, introduced during our calls, was particularly helpful.   It turned out we had an anthropologist on-site that could put this idea into practice very quickly.  With special attention, one key opinion leader that could barely devote 15 minutes to checking out the ‘translator’ became an enthusiastic advocate.  He got involved in making improvements that would reduce the risk of adopting for other physicians.”  

4. Work-In-Progress Group Consultation Process

During monthly calls, grantees were offered an opportunity for a work-in-progress group consultation.  The process includes a grantee sharing a complex challenge, and, asking a focused consultation question for the entire grantee network to take on as their own.

For Alan Duncan and his SPARC team, the most significant transformation arising from group consultations was recognizing the power of “horizontal” social networks:

Many of the grantees, including our team at SPARC, were looking to formal leaders for help with spread.  It was frustrating.  ‘They’ were not tuned into our programs and did not help us spread specific innovations.  We are learning to work horizontally – with peers and informal opinion leaders who were doing the work - at the same time that we look for programmatic support as an enabler from above.  Our process in now parallel in both vertical and horizontal planes.”

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