Table 1 CARE intervention components during 6-month active phase

Training/tools on OUD medications, shared-decision making, and person-centered care

Increase knowledge, skills, and, attitudes about evidenced-based practices to improve client outcomes

1-h, interactive web-based trainings; moderated discussion with external facilitator; guides/tools for OUD medication and shared decision making

All clinic staff

Leadership engagement

Gain buy-in from executive level of the organization to ensure resources available for QI processes and clinical practice change

1.5-h kick-off meeting with study team and ongoing updates and engagement from external facilitator and champions

Clinic executive leadership

Establish clinic champion(s) and change team

Structured team to conduct QI and change management activities

Executive and clinic leadership select champion(s) with support from facilitator

Identified clinic staff

Training on QI and change management

Improve numeracy, data management, and quality improvement knowledge

45-min web-based training plus external facilitator provides training to champion; champion provide training to change team

Clinic champion(s) and change team

Ongoing QI and change management activities

Improve clinics’ ability to engage in data-driven, structured QI cycles and ongoing data monitoring

Weekly 1-h change team meetings lead by clinic champions and supported by the external facilitator

Clinic champion(s) and change team

eTPA8 client-reported treatment progress tool

Improve clinical outcomes and capacity for technology-based data monitoring and QI

Clients complete the eTPA8 every 2 weeks; staff monitor reports for use in clinical decision making; change team uses reports for QI

All clinic staff, champions, change team