Table 1.

Matching barriers to intervention components

Examples of barriers to stroke prevention treatment	Strategies for quality improvement
Other patient issues may distract from AF management	EMR AF toolbar reminder
Provider awareness of new guidelines	Educational materials
Provider attitudes regarding bleeding risk with anticoagulants	Educational materials, risk calculator
Provider assessment and communication of risk/benefit	EMR risk tool added to each relevant patient chart with summary statements
Systems to monitor performance against standards and to identify patients without treatment	Audit and feedback with patient-level data
Systems to monitor patients on treatment	EMR AF treatment flow chart
Systems to identify patient non-adherence	EMR searches and reminders