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Table 4 Enhance clinician and practice member knowledge. ERIC strategies included in EvidenceNOW interventions with Proctor specifications

From: Specifying and comparing implementation strategies across seven large implementation interventions: a practical application of theory

Expected outcomes: Clinician knowledge of ABCS & QI and exchange best practices Knowledge of clinical guidelines, use of local resources, and increased peer interaction encouraging continued engagement and participation in QI. Exchange of best practices, peer learning and support
Justification: Clinicians benefit from learning in a variety of formats (peer-to-peer; online learning; in-person one-on-one or group learning) from different professionals (expert consultants who are also clinical peers, practice facilitators, other healthcare experts). Interactive, collaborative learning and peer networking help practices engage in QI and reduce burnout
No. co-ops Name it Specify it
ERIC cluster ERIC strategy* Actor Specific action(s) Target
7 Train and educate stakeholders Develop educational materials Cooperative leadership, expert consultants, PF Develop webinars, Q & A, toolkit, training modules, and online resources; compile lists of community resources Practice
7 Train and educate stakeholders Distribute educational materials Expert consultant, community health improvement organization, extension agent, PF Host didactic webinars and videos and post toolkits, modules, Q & A/FAQ online for asynchronous learning; provide information during in person visits, such as listing of community resources; support change efforts through providing educational materials and working on them with practices; establish links to community resources Practice
1 Train and educate stakeholders Conduct educational outreach visits Expert consultants, data experts Hold one-on-one meetings with practice to educate on clinical topics; visits to train practice data champion in data reporting/data use training Practice
3 Train and educate stakeholders Provide ongoing consultation Expert consultants Provide expert advice by email or in person Practice
3 Train and educate stakeholders Conduct ongoing training Expert consultants Provide interactive training webinars and “office hours” on clinical topics related to the ABCS; include time for Q & A. Provide training on cardiovascular disease risk calculators and other clinical tools Practice
3 Train and educate stakeholders Create a learning collaborative Cooperative leadership, PF, practice Hold events for practices to learn from and interact with cooperative staff about the clinical interventions as well as interact with other practices, workshop practice needs, and create plans for embarking on or continuing with intervention change processes Practice
2 New Create online learning communities Cooperative leadership, PF, practice Create online forum with access to resources, networking, and discussions Clinical community
5 Train and educate stakeholders Conduct educational meetings Cooperative leadership, expert consultants, PF, practice Hold collective meetings for practices with cooperatives for the purpose of orienting the practice to the intervention and educating practice members on clinical topics and/or best practices; practice facilitators may hold collaborative calls or meetings with practices for training on particular topics of practices’ choice Practice
1 Train and educate stakeholders Shadow other experts Cooperative leadership, practice Select exemplar practices for other practices to visit; visits may be in person or virtual Practice
2 Develop stakeholder interrelations Visit other sites Cooperative leadership, practice Select exemplar practices for other practices to visit or bring together local practices to discuss best practices and intervention successes and challenges; visits may be in person or virtual Practice
4 Develop stakeholder interrelations Promote network weaving Cooperative leadership, PF, practice Encourage networking between practices to build a clinical community for best practices Practice
5 Develop stakeholder interrelation-ships Capture and share local knowledge Cooperative leadership, expert consultants, PF, practice Hold in-person meetings or events or phone calls so that practices can learn from each other and engage in discussion; visit exemplar practices; facilitate networks and learning events in the region; host a small group of practices in one clinic; use online portal for virtual learning Practice
  1. ABCS aspirin, blood pressure, cholesterol, and smoking cessation; PF practice facilitator; HIT health information technology; HIT-PF health information technology specialist practice facilitator; EHR electronic health record; data expert health informatics technology expert; expert consultant physician faculty or clinical expert; Q & A question and answer; FAQ frequently asked questions; extension agent community-based agent specializing in using community resources to address social determinants of health
  2. *Modifications to ERIC labels and new strategies are in italics. Strategy definitions are in Table 1