Table 7.

Site B summary

Evidence	Teamwork	Communication	Leadership*
-Already had a practice algorithm but did not use it or refer to it consistently	-Teamwork generally perceived as adequate, but staff somewhat divided	-Functional but uneven communication about patients and workload	-Recent promotion of ACC pharmacist to middle manager (MM)
-Staff was unevenly open to a new algorithm	-Less cohesiveness as a team	-Used all means available to communicated (email, phone, IM, face to face)	-MM very supportive of ACCII
-Concern about losing clinical judgment if just following an algorithm	-Less willingness to pitch in to even out the work load	-Deeper level of communication about quality improvement often lacking at outset	-MM interested in QI approaches & solicited staff ideas
	-Uneven interest in change and improvement	-Site designed tracking system to manage patients before ACCII started	-MM supported local coordinator (liaison to ACCII)
			-MM supported by pharmacy leadership

*Most influential contextual factor.