Box 1.

ELEMENTS OF THE ADAPTED QUALITY IMPROVEMENT INTERVENTION

Tool	Function	Purpose	Location
Automated panel management tools	Inreach	Identify patients on the day’s schedule who are indicated for, but not actively taking, statins or ACE-inhibitors/ARBs.	Solutions PST
	Outreach	Identify patients on a given panel who have not been seen recently, and are indicated for but not known to be taking statins or ACE inhibitors/ARBs, for targeted outreach.	Solutions PST
	Follow-up	Identify patients on a given panel who were recently prescribed one of these medications, for follow-up on medication adherence.	Solutions PST
Automated best practice alerts	Inreach	Alerts in the EHR notify providers at the point of care when a patient is ‘missing’ an indicated medication, and include hyperlinks to the Order Sets and After-Visit Summary text tools.	Epic EHR
Order Sets	Support	Pre-programmed forms enable quick prescribing of ACE-inhibitors/ARBs and statins.	Epic EHR
Patient education materials	Support	Exam room posters and patient informational handouts orient patients to the potential benefits of taking statins and ACE-inhibitors/ARBs.	Point of care
(English and Spanish)	Support	Standardized text can be added to patients’ After-Visit Summary from the EHR using ‘SmartPhrases.’	Epic EHR
Site Coordinators	Support	Study staff work in the clinics to oversee the implementation of the Quality Improvement initiative; they also meet regularly with the research team and share ideas.	—
Staff training materials	Support	Training materials to orient staff to the study tools and the associated changes to practice and standards of care.	—

PST = Panel Support Tool

EHR = Electronic Health Record

ACE = Angiotensin-converting enzyme

ARB = Angiotensin receptor blocker