The basic origins of implementation science have always been a push approach. We as implementation researchers find and know the evidence-based practices that ‘need’ to be implemented. We tell health systems, hospitals, schools, communities, and clinics about these interventions. We ask them if they want to engage with us in a clinical trial or implementation trial. If they agree, funding is provided externally or internally, local managers and their teams are informed that the project is happening, researchers are funded to learn about the implementation, and the executives and policy makers who gave the green light expect findings that tell them how to scale up these interventions. Implementation begins and most pilots are usually pretty successful.