Table 1 SPREAD-NET implementation components
Implementation support strategy | Description | Study arm 1 | Study arm 2 | Study arm 3 |
|---|---|---|---|---|
CVD risk management bundle implementation toolkit | • Overview of OCHIN’s DM/CVD QI bundle | X | X | X |
• Staff training/patient education materials | ||||
• Documents to support ALL implementation: underlying evidence | ||||
• How to use bundle tools in workflows | ||||
• Additional tools: posters, patient handouts, after-visit summary text | ||||
• Webinar on how to use the toolkit | ||||
• How to train your clinic staff to use the bundle | ||||
• How to implement practice changes, e.g., Plan-Do-Study-Act (PDSA) cycles [110–118] | ||||
• Annual webinars with updates | ||||
• Relevant references and links | ||||
In-person training, quarterly follow-up webinars | • 2-day training in Portland, Oregon: how to use the bundle, and how to train others to use it | X | X | |
• Hands-on training in how to use bundle tools (e.g. panel management) | ||||
• Focus on building skills around change management techniques (e.g., PDSA cycles) | ||||
• Quarterly webinars; topics chosen by clinics to enhance implementation skills | ||||
On-site practice facilitation | • Up to 5 visits per clinic, including: | X | ||
Staff presentations | ||||
Coaching on presenting the tools to clinic staff, and using the tools in clinic workflows | ||||
Tailored problem-solving support to address barriers | ||||
Clinical questions fielded by practice facilitator | ||||
• Ongoing telephone/e-mail support as needed |