Table 2 Measures and data sources
Construct | Data source | Measure(s) | Timing |
|---|---|---|---|
Practice capacity for quality improvement (QI) | Quality improvement capacity assessment (QICA) survey | • Eight change concepts (see Table 1) | Baseline and 9–12 months after start of practice facilitation |
Prior experience with QI | Practice survey | • Change process capacity questionnaire (CPCQ) [21] | Baseline and 4 months after exposure to enhanced support interventions |
External organizational support for QI | Practice survey | • Is the practice is part of a large organization with a centralized QI team? • The autonomy of the practice to choose what QI projects they wish to work on | Baseline and 4 months after exposure to enhanced support interventions |
External climate for QI | Practice survey | • Location of practice: Washington, Oregon, or Idaho | Baseline and 4 months after exposure to enhanced support interventions |
Adaptive reserve | Staff survey | • Adaptive reserve scale [22] | Baseline and 4 months after exposure to enhanced support interventions |
Clinical quality measures for ABCS CVD risk factors | Numerator and denominator report generated by each practice from their Electronic Health Record | • NQF0068: ischemic vascular disease: appropriate use of aspirin/antithrombotic • NQF0018: controlling high blood pressure • NQF0028: preventive care and screening: tobacco use • CMS proposed statin measure | Every 90 days with a 12 month look-back period |