Table 2.

Selected example of open-ended questions related to practice change.

Theme	Open-ended question
Practice vision/goals	What are this clinic’s goals, values or mission? How does this clinic differ from other clinics you’ve worked in previously? How the clinic staff (i.e., physicians, nurse practitioners or physician assistants, medical assistants, receptionists) share this vision, what do they do to achieve clinic’s goals?
Needs Assessment at the Clinics	How do you assess your clinic’ needs for change? What have you as a clinic tried to change in the past? Was it successful? Why or why not? Can you tell me about a recent change in this clinic such as hiring a new staff member, changing your medical records in some way or the patient appointment system or staff responsibilities?
Changes hope to make	Are there any changes that you have thought about or that you and the staff have met about that might improve the health of your patients, why? Do you have any idea on how this will happen or who will make it happen?
Facilitators to practice change	Probe: How did the clinic deal with this event (s)? Did the ways in which staff related to each other/interact with each other change? If so, how did they change? How did staff in the practice figure out how to handle the new situation? What happened afterwards? What facilitated your changes?
Barriers to practice change	Changing the way a clinic like this operates is often difficult. Probe: Are there specific in internal barriers to changes that effect how patients are seen in this clinic (i.e., specific factors with the physicians or clinicians that make change difficult or specific factors with the clinic staff that make change difficult)? Are there external barriers that make change difficult (i.e., regulations, insurance, hospital system, other clinic)?