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Table 2 Elements of the multifaceted guideline implementation intervention for both study arms per cardiac rehabilitation therapy

From: Evaluating the effect of a web-based quality improvement system with feedback and outreach visits on guideline concordance in the field of cardiac rehabilitation: rationale and study protocol

Study arm CR therapy Elements Description of the elements
A Exercise training CDS Computerized decision support system at the point of care based on the most recent guidelines for CR
Relaxation and stress management training CDS  
Education therapy CDS  
Feedback Quarterly feedback reports on quality indicators for CR for arm A and B (see Table 3), monitoring of own performance over time, comprehensive benchmarking CR clinic’s performance to the other participating clinics
Educational outreach visits On site educational outreach visits after sending the feedback reports, supporting discussion of feedback results within a local QI team, supporting this team to define, implement and monitor a QI plan by means of a web-based QI system (CARDSS Online)
Lifestyle change therapy (excluding physical activity) CDS  
Feedback  
Educational outreach visits  
B Exercise training and physical activity CDS  
Feedback  
Relaxation and stress management training CDS  
Feedback
Educational outreach visits
Education therapy CDS
Lifestyle change therapy CDS