Table 1 Implementation strategies as applied to COVID-19 testing in trial courts

Identify and prepare champions

Identified and contacted key stakeholders; the DPH, trial court employees, and an ambulance company experienced with rapid COVID-19 testing

Fund and contract for clinical innovation

Funding for the COVID-19 tests and research staff time supported by NIH grant

Funding for the vendor (Ambulance Company) supported by the DPH

Develop academic partnerships

The research team facilitated the process of implementation through organizing meetings, preparing educational material, and facilitating communication between stakeholders

Facilitation

Assess for readiness and identify barriers and facilitators

There was concern that if people came inside Trial Courts for testing, they could transmit infection. This led to the decision of conducting the testing outside

As implementation took place in winter, the vendor was concerned about people waiting outside for testing and the accuracy of COVID-19 testing in below freezing temperatures. The ambulance company converted a bus into a testing center

Promote adaptability

There were several snow days, and two testing dates had to be rescheduled

Develop a formal implementation blueprint

With feedback from stakeholders, we created a COVID-19 testing schedule at designated Trial Court sites in MA and reviewed plan with stakeholders

Conduct local needs assessment

Created a QR code survey for participants to share their COVID-19 testing experience at the Trial Court