Table 2.

Constituent sub-theme mentions within each theme by survey cycle

Survey cycle	1	2	3	4	5	6	7	8	9	Total mentions
Giving data about not-at-goal patients to providers for care plan development
Pre-visit planning	19	19	7	10	6	12	9	7	5	94
Create not-at-goal patient lists	1	1	0	8	6	1	0	1	4	22
List review with provider	9	5	4	2	3	12	2	7	2	46
Total	29	25	11	20	15	25	11	15	11	162
Developing team roles, defining tasks
Staff training	6	3	1	3	9	3	1	2	5	33
Medical doctors/clinical services staff orientation	6	2	0	9	5	4	11	7	3	47
Provider buy in	3	1	0	2	4	4	5	3	5	27
Clinical services staff responsibilities	2	0	0	3	1	2	4	5	6	23
Total	17	6	1	17	19	13	21	17	19	130
Providing patient care, implementing care plan
Protocols	10	6	9	9	11	1	2	2	2	52
Recalls, patient follow-up	4	5	2	7	9	6	1	1	10	45
After-visit care	4	3	1	3	2	0	0	2	3	18
Active management	0	1	0	0	0	3	1	3	2	10
Medication change or titration	1	0	2	3	4	5	2	2	2	21
Treatment of low-density lipoprotein cholesterol, hypertension	0	2	1	1	0	0	0	1	2	7
Total	19	17	15	23	26	15	6	11	21	153
Providing technology support for getting usable, accurate data
Electronic medical record/information technology issues	4	5	1	8	5	11	6	7	5	52
Patient identification/registry	9	6	5	1	3	5	2	2	1	34
Information technology system implementation	1	0	0	1	1	2	0	0	0	5
Total	14	11	6	10	9	18	8	9	6	91