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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