Fifteen years of MAP implementation in Minnesota: Tailoring training to evolving provider experience and expertise

ABSTRACT Successful innovations inevitably evolve over time. Such change presents challenges for implementation, especially given that the contexts interacting with the innovation are evolving too. We discuss the implementation of the Managing and Adapting Practice (MAP) system in Minnesota over a 15-year period. We present an approach to customizing training when the innovation has changed over time resulting in various levels of experience and expertise with the innovation. Findings suggest this approach may help bring early-adopters of an evolving service model up to current standards in an acceptable and feasible manner. We conclude with lessons learned that future customized trainings should consider.