Barwick, M. (2011). Checklist to Assess Organizational Readiness (CARI) for EIP Implementation. Toronto, ON: Hospital for Sick Children Toronto.
Relevance for Public Health
This tool was developed for behavioural health service provider organizations. Behavioural health perspectives have been readily applied and integrated into health promotion and disease prevention strategies. As such, this tool is transferable to the public health context. One way that this tool can be used is to support efforts to implement best practice guidelines in public health organizations.
The Checklist to Assess Organizational Readiness (CARI) is a tool for individuals who are involved in designing and leading an organization-wide change strategy. The purpose of the tool is to determine an organization’s level of readiness to implement evidence-informed practice (EIP).
Austin and Classen (2008) identified four organizational factors (organizational capacity, organizational culture/climate, staff capacity and implementation plan) from research and practice findings deemed to be important determinants for implementation success. This CARI tool builds upon previous work conducted by Austin and Classen and introduces an additional four factors (system level capacity, functional considerations, senior leadership and training) that researchers and implementers in outcome measurement have identified as important considerations for implementing evidence-informed practice.
This tool is intended to be administered prior to implementation so that provisions can be made to improve implementation success based on the results of the assessment. As such, this tool draws upon the implementation team's organizational awarness.
Another relevant tool used to examine organizational strengths and gaps in applying and incorporating research is the Is Research Working for You? tool.
Accessing the Method/Tool
Implementing the Method/Tool
Time for Participation/Completion
Information not available
Additional Resources and/or Skills Needed for Implementation
Steps for Using Method/Tool
Members of the organization's implementation team complete the tool individually. Individuals rate their organization's readiness on a scale of 1 to 4 (1 = "not even close", 4 = "we're there") for each item. Facilitators then review the individual ratings with the implementation team and assign a separate overall consensus rating for each item to capture the group's perspective.
The consensus ratings for the questionnaire items are summed for each of the eight organizational categories (A = system capacity to H = training). The total for each score for each organizational factor is then graphed on a spider graph by putting an 'x' on the appropriate spot along the number line for each section (A to H). The points are linked around the entire graph, connecting the dots.
Once complete, the spider plot graphically highlights the organizational factors that are most similiar in terms of perceived level of organizational readiness. It may also be used to identify relative positive or negative outliers so that you can quickly identify organizational strengths and areas that require work within your organization to improve the likelihood of implementation success.
Who is involved
Facilitators are involved in reviewing and completing a consensus version of the group's response. The implementation team is required to respond to the tool.
Conditions for Use
Evaluation and Measurement Characteristics
Has not been evaluated
Validity not tested
Reliability not tested
Melanie A. Barwick
Method of Development
Melanie A. Barwick
The Hopsital for Sick Children
555 University Avenue
Toronto, ON M5G 1X8
Phone: (416) 813-1085
These summaries are written by the NCCMT to condense and to provide an overview of the resources listed in the Registry of Methods and Tools and to give suggestions for their use in a public health context. For more information on individual methods and tools included in the review, please consult the authors/developers of the original resources.