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

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

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
	Exercise training and physical activity	Feedback
	Relaxation and stress management training	CDS
		Feedback
		Educational outreach visits
	Education therapy	CDS
	Lifestyle change therapy	CDS

ISSN: 1748-5908