Table 2.

Similarities and differences in the implementation pathways among practice sites

Common contextual elements

• Use of EHR to follow-up on patient goals • Gaps in communication between those setting goals and PCPs

Divergent contextual elements

• Use of care manager/health educator vs. clinic RN • Training as a group vs. individually • Attempts to directly communicate goals with PCPs vs. exclusively through EHRs • Targeted patient population and decision-making autonomy among staff engaged in goal setting (i.e., all patients with diabetes vs. only those seen by care mangers vs. only those chosen by care managers as potentially benefitting)