Table. Innovative Approaches to Address Key Nontechnical Challenges During Implementation of Data QUEST.

Key Challenge	Innovative Approaches
Diversity of organizations	Conducted feasibility evaluation that led to selecting a technical solution with clinical tools that added value for partner organizations
	Engaged IT, clinical and operational stakeholders at each partner organization
	Individualized implementation process at each partner organization allowed implementation to fit existing infrastructure and resources
	Staggered implementation across partner organizations
	Engaged a vendor with experience, creating data-sharing infrastructures across diverse EHR systems
Rapidly changing health care landscape	Used a nimble implementation process, allowing continuous contact with partner organizations and rapid response to changes
	Conducted frequent site visits before, during, and after implementation to conduct direct observation and offer feedback
	Maintained flexibility in how and when clinical tools were implemented
Limited resources	Received critical support from the Institute of Translational Health Sciences, our local Clinical Translational Sciences Award
	Worked with commercial vendor to provide technical solution and support rather than relying on partner organizations' information technology resources
	Relied on a project coordinator to interface between the commercial vendor and the practice in order to lessen the burden of implementation for clinics

Abbreviation: EHR, electronic health record.