TABLE 2.

Traditional Academic Detailing Program Structure, H2N Constraints, and H2N Adaptations

Traditional AD Program Structure	H2N Constraints/Enablers	Adapted H2N Virtual Outreach Program
In-person visits	Broad geographic spread	Make virtual 30-min visits, facilitated by webinar technology (or phone if webinar not possible)
One-to-one visits	Limited educator resources (a small number of educators with limited time for visits); scheduling with multiple individual clinicians across a practice burdensome to practice and research team	Fit “visits” into meetings and other time slots that multiple clinicians across a practice could attend Developed a short educational video on use of a CVD risk calculator that could be watched by the clinical team asynchronously
Lead clinician-only audience	CVD risk reduction is well-suited to clinical team-based action	Invited medical staff, quality coordinators, care coordinators, and clinicians, as appropriate for the practice’s context. Asked for a clinician to attend the “visit”
Extensively trained detailer	Multiple primary care clinicians on the H2N research team enthusiastic to serve as educators	Developed “detailing” training program and resources (NaRCAD-vetted) for primary care clinician educators. Key messages developed in collaboration with practicing clinician advisory group and content expert in CVD risk reduction
Multiple visits	Limited educator time with practice; practice facilitators who conduct monthly visits or calls	Sent summary of call to practice and copied practice facilitator. Practice facilitators followed up on practice change ideas. Held optional follow-up “office hours” phone calls for all clinical care teams to share successes and barriers to increasing use of CVD risk calculator

H2N, Healthy Hearts Northwest.