Table 3.

Key Findings from Prototype Toolkit Testing

Overall Key Findings when Testing the Entire Toolkit
Getting practices started Practices felt that getting started with the toolkit was the hardest part. The six-minute video really seemed to energize and motivate the practices.
Key elements to success Even if a practice had an enthusiastic champion, if that practice did not form a team, no change occurred. Raising awareness with the whole team and staff was often recognized as key. The practice assessment was also crucial in energizing the team, and steering them to their weaknesses and the tools that would help.
Other observations to note Prior knowledge of change models and the PDSA cycle helped practices to make change. Implementing five tools in two months was too much and overwhelming. It seemed that implementing one or two at a time would be more manageable. Practices did not read the tools thoroughly. They tended to skim them, getting some high points but missing some important details. Implementation was harder for practices that had a lot of part-time employees or relied on many volunteers. Practices struggled with how to continue to train newcomers and keep up this work in the future.
Helpful suggestions Many practices commented that having the toolkit accredited for continuing education credits would be very helpful.