Table 3.

Selected Focus Group Comments from Participating Rheumatologists

Topic
Provider Education	“I feel I have limited mastery and when my mastery is limited I'm sometimes skeptical about intervening. Because I might not do it right.”
Scope of Practice	“From a broader perspective, really prior to this intervention and for many, many years, my view is that my scope of practice doesn't really include preventive things... I'm sort of redefining scope a little, [but] this is not my area. I'm being dragged kicking and screaming into this.”
EHR Challenges	“I gave up about a month into it. I couldn't figure it out. Every time I would end up going around and around and around. I gave up. When I gave a vaccination I would just tell the RN to give an injection and document it.”
Patient Barriers	“Patients hem and haw- ‘I need to go check with my primary care provider.’ Or they say, ‘I'm going to get it at Walgreens.’ And then when they come back they haven't.”
Coordination of Care	“One of my concerns is always coordination of care. What am I going to do with these results? If they are abnormal, want to make sure they'll see their internist. I never know how to make sure that happens.”
Performance Reports	“After realizing I'm terrible, I realized I wanted to get better. They provided motivation to improve. And it didn't get as good as I would have liked, but it did improve.”