Table 2.
Strategy Definitions
| Clinic configuration: Changes to the membership of a clinic (e.g., moving toward a configuration of one doctor, one nurse, and one clerk for each clinic team) |
| Clinical reminders: Computerized (primarily) or physical (occasionally) reminders instructing the provider that some clinical action is due for a particular patient |
| Clinical reminders (under development): Facilities have not finished developing a full set of clinical reminders for use with CPRS |
| Computerized template: Standardized computer screens for entry of specific patient information, such as depression screening, standardized text entries for progress notes |
| CPGs committee: Presence of a committee whose sole purpose is to review, evaluate, and discuss guideline-related issues |
| Customizing clinical reminders: Customizing the human–computer interface reminders to make them more user-friendly |
| Data warehouse: Integration of electronic medical records across multiple facilities in a region |
| Electronic communication: Telecons, videoconferencing, synchronous (e.g., IM) and asynchronous (e.g., e-mail) telecommunications methods |
| Electronic medical record (fully implemented): The facility reports that their electronic medical record is fully operational and running |
| Electronic record exchange across facilities: Software package that allows the electronic transfer of records or orders from one system to another |
| EPRP as monitoring/feedback tool: Using data from EPRP reports as a form of feedback on guideline adherence for the providers |
| Executive boards handle guideline issues: Existing committees (not dedicated to guidelines) like the medical executive board, clinical executive board, professional standards board discuss performance improvement efforts related to guidelines |
| External performance benchmarking: Comparing internal performance to some external reference |
| Identifying a champion: Identify someone knowledgeable and supportive of clinical practice guidelines to serve as a credible source to change attitudes and beliefs about guidelines |
| Physician specific EPRP reports: Each individual physician gets a report based on EPRP data on their individual performance, when available |
| Staff/team meetings: Using regular staff or team meetings to disseminate guideline information |
CPRS, Computerized Personal Record System; EPRP, External Peer Review Program.