Team Name | Charge | Attribute from Rogers Model |
---|---|---|
Steering Committee | Create project timeline and milestones; monitor progress; review and vote on algorithms for starting or switching to thiazides prepared by Clinician Liaison Team; keep project on track; review GMS and PrimeCare data on thiazide use and blood pressure goal attainment | None |
Clinician Liaison Team | Using published literature (specifically the JNC7 national guidelines) create algorithms guiding clinicians on how to start or to switch a patient to thiazides. Review and present literature on effectiveness of "academic detailing" to change physician behavior. | Complexity |
Patient and Administrator Liaison Team | Provide informational materials to patients and answer their questions; conduct focus groups of patients to determine how they would feel about the use of thiazides, or about changing their antihypertensive regimens to switch to a thiazide. Inform key VA medical center leaders about the project and serve as their point of contact. | Complexity |
Communication Team | Using information provided by the Clinician Liaison Team and Steering Committee, format and produce all written materials concerning the project, including treatment-algorithm and drug-cost comparison pocket cards for clinicians, exam room posters and brochures for patients, conference room posters and brochures for clinicians, blood pressure measurement procedure for nurses, and project reports | Relative advantage |
Performance Analysis Team | Devise conceptual and measurement models for tracking patient outcomes; and oversee computer programming algorithms to use with the medical center's data warehouse for the prevalence of hypertension, use of thiazides and other anti-hypertensives, and blood pressure goal attainment. Assess and establish data quality. Review and format GMS and PC data on study outcomes. | Observability; trialability |