• Survey of practices' approaches to chronic care and practice change
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Baseline Endpoint
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Facilitated-CDS and CDS-only
|
• Semi-structured interviews with each Physician/ Clinician Champion.
|
Baseline Endpoint
|
Facilitated-CDS and CDS-only
|
o Interviews conducted with ALL Facilitated practices
|
o Interviews conducted with 9 CDS-only practices (4–5 from each round)
|
• Facilitator activity log on all interactions with the practice including:
|
Ongoing
|
Facilitated- CDS
|
o Emails
|
o Phone calls
|
o Monthly meetings with site coordinator
|
o QI team meetings
|
o Webinars/Conference calls
|
o Collaborative learning
|
o Interface/Meetings/consultations with the academic mentors
|
• Academic detailing activity log on interactions with the practice including:
|
Weekly debrief with
|
Facilitated- CDS
|
o Phone calls with physicians
|
each academic mentor
|
o Emailsntd
|
on their contacts with
|
o Webinars/Conference calls
|
the practices
|
o Collaborative learning
|
o Interface/Meetings/consultations
|
• Site visits to 10 interventions and 10 comparator practices to observe workflow.
|
Final 18 months of
|
Facilitated-CDS and CDS-only |
o Comparator practices selected at random.
|
intervention |
o Intervention practices selected using a dynamic multi-method approach (refer to
|
o site visit protocol) |