Table 2.

Lessons Learned

• Engage the administration from the top

• Invest in understanding the situation through data and focus on understanding the root causes behind suboptimal performance

• Invest in sustained, targeted educational activities

• Be aware of knowledge gaps among some medical professionals

• Closing the knowledge gap may not be enough; changes in behaviors and practices may be needed

• Invest in an information technology infrastructure, with key metrics reported and discussed in an appropriate forum and feedback to clinicians and clinic administrators:

• These data can be used to track progress and also to identify clinics/locations or issues that require additional intervention