[Definition of concepts].

Dimensions Sub-­‐dimensions 1. Organizational climate for change: The collective appraisal of the internal organizational environment [1] 1.1 Mission: Staff awareness of agency mission [1] 1.2 Staff cohesion: The focus on work group trust and cooperation [1] 1.3 Autonomy: Addresses the freedom and latitude staff members have in doing their work [2] 1.4 Stress: Pressure to do job [2] 1.5 Communication: Receptivity to suggestions from staff and the adequacy of information networks to keep everyone informed [1] 1.6 Openness to change: Management interest and efforts in keeping up with change [1] 1.7 Political change: Change across different organizational levels and areas [3] 2. Organizational contextual factors: The circumstances under which the change is occurring [4] 2.1 Healthcare organizational characteristics (structural): Factors that reflect the extent to which the circumstances under which the change is occurring enhance or inhibit the acceptance and implementation of change [5] 2.2 Organizational culture: values and beliefs of organizational members, which influence the character and quality of interpersonal relationships between members and between members and outsiders [6] 2.3 General resources: Qualities and characteristics that enable a practice to modify both its technical aspects and its values and/or beliefs regarding how it operates [7] 3. Organizational environment readiness: State of the organization [8] 3.1 Internal turbulences: Restructuring, staff turnover, miscellaneous organizational change [8] 3.2 Intra/Inter cooperation: Extent of cooperation between and within departments [8] 3.3 Organizational history of innovation: Prior history of successful innovation of practice implementation [8] 3.4 Leader innovativeness: Availability of a Leader of the innovation [8]