Table 2 Reverse mapping ERIC strategies to CFIR barriers
Most used actual ERIC strategies (wording tailored to cirrhosis care) | Actual strategy use | Strategy significance | Expected CFIR barrier (per CFIR-ERIC Matching Tool) | Actual barrier | |
|---|---|---|---|---|---|
FY18 | FY19 | ||||
• Use data warehousing techniques | 73% | 75% | Both | Reflecting & evaluating | |
• Change physical structure and equipment | 67% | 50% | Available resources | a | |
• Change the record systems | 60% | 53% | 19 | Reflecting & evaluating | |
• Use data experts to manage cirrhosis data | 51% | 37% | 18 | Reflecting & evaluating | |
• Build on existing high-quality working relationships and networks to promote information sharing and problem-solving related to implementing cirrhosis care | 49% | - | Both | Networks & communications | |
• Facilitate the relay of clinical data to providers | 49% | 40% | Reflecting & evaluating | ||
• Tailor strategies to deliver cirrhosis care to address specific barriers in your center | 44% | 40% | Both | Compatibility | a |
• Identify and prepare champions | 44% | 36% | 19 | Champions | |
• Identify the ways cirrhosis care can be tailored to meet local needs and while still maintaining the core components of evidence-based care | 43% | 42% | Both | Adaptability | a |
• Provide ongoing consultation with one or more cirrhosis treatment experts | 43% | 32% | Both | Self-efficacy | |
• Distribute educational materials | 43% | 35% | 18 | Access to knowledge & information | |
• Intentionally examine the efforts to promote cirrhosis care | 43% | 38% | 18 | Executing | |
• Share the knowledge gained from quality improvement efforts with other sites outside your medical center | 41% | - | 18 | Adaptability | a |
• Conduct educational meetings | 41% | 44% | Access to knowledge & information | ||
• Build a local coalition/team to address challenges | 40% | - | 19 | Cosmopolitanism | |
• Develop reminder systems for clinicians | 40% | 36% | 19 | Leadership engagement | a |
• Conduct local consensus discussions | 38% | - | 19 | Relative priority | a |
• Provide ongoing training in cirrhosis care | 38% | 33% | 18 | Self-efficacy | |
• Provide clinical supervision around evidence-based cirrhosis care | 37% | 34% | 18 | Access to knowledge & information | |
• Intervene with patients to promote uptake of and adherence to cirrhosis care | 33% | - | Both | Patient engagement | |
• Revise professional roles | - | 35% | Structural characteristics | a | |
• Have an expert in cirrhosis care meet with providers to educate them | - | 32% | Evidence strength & quality | ||
• Engage in efforts to prepare patients to be active participants in cirrhosis care | - | 29% | Both | Patient engagement | |
• Involve patients and family members | - | 28% | 19 | Patient needs & resources | a |
• Create new clinical teams | - | 28% | Networks & communications | ||