Implementation Support Programs
Close the gap between evidence and care.
Each program targets one gap in care, follows a written plan, and measures whether the gap closes.
The case for change
Three gaps. One at a time.
Observational or registrational-intent research, with any regulatory use defined in advance.
Available, but not approved for this population, not on guideline or not covered. Programs build the case for regulators, guideline committees and payers.
It's approved, covered and recommended, but eligible people are still missed or delayed. Programs find them and close the delays.
do not consistently stay on long-term treatment
Patel S, et al. J Clin Med. 2025;14(17):6034of physicians report care delays from prior authorization
American Medical Association, 2026 National Advocacy Conference action kitfrom FDA authorization to a Medicare coverage milestone
Sexton ZA, et al. JAMA Health Forum. 2023;4(8):e232260evidence-based interventions make it into practice
Bhatt S, et al. Prog Cardiovasc Dis. 2025;90:97-108What every program includes
Built once. Used for every program.
A written plan
Who it's for, what patients and clinicians see, and what's measured.
The same technology
The same tools in every program, for patients and care teams.
Measured from day one
The care gap is measured at baseline, so everyone can see whether it changed.
Results published
Whatever they show, so every Implementation Hub learns from them.
Our method
Four D’s. One ladder.
- (Re)Define
The care gap and why it happens: where the pathway breaks, and for whom.
- Develop
The strategy, written plan, measures and funding, approved by the program's governance.
- Deploy
In the real world, with Implementation Hubs and participants.
- Determine
From the first day: who takes each step, and whether the gap is closing. Then sustain, adjust, scale or stop.
Each program sets a target for every rung of the adoption ladder, from identify to evangelize.
Rabble Initiatives
Where programs are focused.
- OncologyFAST
Biomarker testing that leads to the right treatment.
- RespiratoryCLEAR
Finding lung disease earlier, in the community.
- RespiratoryRAPID
Fast follow-up after a respiratory event.
- VaccinesVITAL
Adults acting on recommended vaccines, starting with RSV.
- Donation & TransplantGRAFT
More patients reaching transplant evaluation.
Rabble Initiatives are Rabble Health® brands. Rabble Health provides the technology. Nonprofit partners may govern programs and publish what they learn.
Built for clinical judgment
We show the source. Patients and clinicians decide together.
Transparent
Every guideline-based option shows its source and date.
Clinician-led
Our technology informs the treatment decision. It never makes it. Sponsors never see or shape what clinicians see.
Governed
A written plan, governance by nonprofit partners, a documented IRB determination before it starts, and Business Associate Agreements.
Talk to us
Bring us a care gap.
Tell us where patients are falling out of care.
connect@rabblehealth.com