A number of different approaches to reliable implement tation of evidence for practice have been proposed and the theoretical foundation for implementation is strong with 47 models identified in the literature."*Among the dozens of implementation science frameworks available, the Trans- lating Research into Practice (TRIP) framework is one of the most commonly used. TRIP can be used to design imple- mentation studies that test the degree of provider adoption of an innovation by providers and organizations. Adoption of the innovation as proposed in TRIP is influenced by: characteristics of the innovation, communication, users, and the social system. Factors that influence adoption of the innovation include users' beliefs that the innovation is su perior to usual care; compatibility with existing values; limited complexity; trialability (the degree to which an innovation can be tested on a small scale); and observ- ability." Institutionalizing a new innovation is challenging. but several factors may enhance successful implementation and sustainability of the innovation. In addition to those previously mentioned, a multifaceted and interdisciplinary communication process that includes educational out- reach, including opinion leaders, and change champions from the earliest stages of project design can prove essential for successfully sustaining an evidence-based innovation in a clinical setting"