Table 2 Strategies for deployment of the telehealth-enabled remote audit and feedback (TEACH intervention)
Domain | Organize clinical operations leadership team | Identify and prepare local site project team/site champions | Develop educational materials and conduct training | Facilitate relay of clinical data to clinicians in real time | Utilize remote monitoring and prompting to audit and deliver feedback |
|---|---|---|---|---|---|
Actor(s) | Nurse and respiratory care leadership, tele-critical care nurse and respiratory care leadership, implementation advisors | Cross-disciplinary site teams including local site physician leader, nurse, and respiratory care project leads | Nurse and respiratory care leadership, tele-critical care nurse and respiratory care leadership, implementation advisor | Cross-disciplinary team including clinical and implementation effectiveness leadership, information technology | Tele-critical care nurses and respiratory therapists |
Action(s) | Define standard workflow for the TEACH intervention Identify and address barriers to adherence | Identify and address local barriers to adherence to the TEACH intervention | Introduce TEACH intervention in staff meetings, provide individual training and reinforcement with nurses and respiratory therapists | Utilize an electronic dashboard that includes information on SAT/SBT performance along with electronic medical record and tracking data | Identify potential non-adherent patients, evaluate to confirm nonadherence, conduct outreach to bedside clinician, provide bedside consultation/facilitation, document interaction |
Targets of the action | Local site project teams/champions | Front-line clinicians | Local site project teams/champions | Tele-critical care nurses and respiratory therapists | Front-line respiratory therapists and nurses |
Temporality | Initiation through sustainment | Implementation through sustainment | Implementation phase | Initiation through sustainment | Implementation through sustainment |
Dose | At least biweekly | Biweekly | At site deployment and periodic refresh as needed | Daily, real-time reporting | Daily, as needed |
Implementation outcomes affected | Uptake, penetration | Uptake, penetration, fidelity | Uptake, penetration, fidelity | Uptake, penetration, fidelity | Uptake, penetration, fidelity |