Table 4.
Summary of intervention strategy implementation
Monthly intervention strategies | Average number who received strategy per montha | ||
Group 1b | Group 2c | Overall | |
Practice change support officer contacts | |||
Face-to-face visits (managers) | 1.6/3 (53 %) | 7.6/10 (76 %) | 9.2/13 (71 %) |
Face-to-face visits (clinicians)d | 4.8/7 (69 %) | 8.7/12 (73 %) | 13.4/19 (71 %) |
Fortnightly phone/email support (managers) | 1.8/3 (60 %) | 8.3/10 (83 %) | 10.1/13 (78 %) |
Monitoring and feedback | |||
Performance reports provided (managers)e | 1.4/3 (47 %) | 7.5/10 (75 %) | 8.9/13 (68 %) |
Performance reports discussed with (managers)e | 1.0/3 (33 %) | 7.2/10 (72 %) | 8.2/13 (63 %) |
Practice change resources | |||
Tips and updates sheets provided to clinicians (service)f | 3.4/7 (49 %) | 9.0/12 (75 %) | 12.4/19 (65 %) |
Newsletter provided to clinicians (service)f | 4.4/7 (63 %) | 9.0/12 (75 %) | 13.4/19 (71 %) |
One-off intervention strategiesg | Month by which majority of target (80 % ) received strategyh | ||
Group 1b | Group 2c | Overall | |
Clinician and manager training | |||
Manager training (managers) | 5/12 | 4/12 | 5/12 |
Online training (managers) | n/ai | 4/12 | 5/12 |
Online training (clinicians) | 7/12 | 5/12 | 6/12 |
Practice change resources | |||
Provision of resource pack (service)f | 4/12 | 1/12 | 3/12 |
aAverage number of targets of the intervention strategy (services or managers) who received each strategy per month
bIncludes 7 services with a total of 3 managers and 52 clinicians
cIncludes 12 services, with a total of 10 managers and 165 clinicians
dRecorded at service level as support officer made available to all clinicians at relevant service
eDue to complications with the software used for performance monitoring and feedback, this strategy was not available for 6/12 months of the intervention period in group 1 and 3/12 months in group 2
fRecorded at service level as resource provided to the service to distribute to individual clinicians
gThe following strategies were implemented across the health district prior to intervention implementation: district wide preventive care policy, key performance indicators (based on consultation with health district executives, senior clinicians and managers), tool incorporated into the electronic medical record, e-mail helpline and an internet resource site
hIntervention month in which the majority of services, managers or clinicians (80 %) had received each ‘one-off’ intervention strategy
i<80 % of managers in group 1 completed the online training modules by the completion of the intervention. By month 5, 2/3 managers had completed the modules. The third manager did not complete the modules by the completion of the intervention