The purpose of this qualitative descriptive design study was to explore how hospital middle managers (HMMs) described the innovation implementation experiences that influenced their innovation implementation in Long Island, New York. The consolidated framework for implementation research (CFIR) guided this study and shaped the overarching research question: how do HMMs describe their innovation implementation experiences that influence their innovation implementation outcomes? The fourth domain of CFIR guided three additional sub-RQs. Purposeful and snowball sampling were used to select 15 HMMs that participated in one-to-one interviews. Nine of the same 15 HMMs partook in two focus groups. Thematic analysis was used to identify and interpret deductive and inductive patterns found in the data. Data analysis generated twelve themes, nine were facilitators of innovation implementation and remaining three were barriers. Study results found participants desired continuous feedback and leadership development; this fostered enhanced affective commitment and mindset which helped guide more successful innovation implementations. Therefore, healthcare organizations need to develop strategies to incorporate HMM in the planning and execution of future innovation implementations.