The PAPM, diffusion theory, and violent death surveillance

Objective: To Apply the PAPM and Diffusion Theory for building a statewide coroner investigation system to further violent death prevention efforts. Methods: By utilizing a theoretically based framework and systematically tracking stage progression, individual agencies and/or state systems can replicate and sustain the process. Results: Through the incorporation of the combined models, 82 of Kentucky's 120 coroner offices currently collect the same information - no replicate information existed 4 years ago. Conclusion: This study demonstrates the utility of theory as a foundation for encouraging adoption of innovation and shows an effective way to coordinate information in a timely manner with limited cost.