Step 1:

Understand what is involved in implementing BBIT at your site.

• Read the suggested implementation plan
• Watch our video about implementing Basal Bolus Insulin Therapy (BBIT):

Step 2:

Assemble a core implementation team, consisting of:

• administrative
• nursing
• pharmacy
• physicians
• other ordering care provider champions

It is imperative that all multidisciplinary groups listed above are represented.

Physician engagement, in particular, appears to be a key factor influencing the success of the project.

Step 3:

Meet and discuss site readiness in the pre-implementation/planning phase with the implementation team.

Step 4:

Identify "barriers" to implementation or what might get in the way.

Personalized KT Toolkit

Teams will encounter many barriers during their pre-implementation, implementation and post-implementation (sustainment) phases. Some barriers will affect the entire hospital, a service, site or unit, whereas others may affect only subsets of providers or units.

For each barrier to implementing BBIT selected on this interactive website, a personalized Toolkit will be generated with:

• suggestions
• strategies
• specific links to relevant materials to facilitate implementation

Generate KT Toolkit

Identify 3-5 barriers

We encourage sites to identify their most common 3-5 barriers, and explore the strategies suggested to address them. Not every tool listed is required to overcome each barrier, and tools were intended to be modifiable to suit the specific needs of each site.

Re-evaluate barriers regularly

This Toolkit has been designed to be used in an iterative fashion. It is important to re-evaluate barriers on an ongoing basis, even after your site’s “Go-Live” date. After using a tool, we recommend evaluating whether it has been effective, or whether another strategy is required to overcome the barrier.