Fig. 5

Mechanism and Context for Facilitation. Simplified mechanistic representation of healthcare facilitation for illustrative purposes. In this simplified diagram, this strategy is portrayed as a facilitator engaging with a new organizational network to provide resources and skill for change. The strategy unfolds through three key mediators: (1) acceptance into the care system, which involves gaining the healthcare system's approval and support for new practices; (2) buy-in from leadership, needed for securing broader organizational support; and (3) cultivation of internal champions who advocate for and sustain the new initiatives (Panel A). These elements work together to build (5) trust and coherence around the proposed activities. The diagram’s mediators invite consideration of organizational readiness for change as a contextual factor that could play a crucial role in the process by acting on acceptance (Panel B). The unit's ability to experiment with new activities depends on creating slack in the system—essentially, allowing resources and time for experimentation with new processes and approaches. This slack is necessary for testing and refining new ways of thinking, ensuring that the healthcare system can adapt and integrate innovative practices