Figure 1.

The figure displays project development, implementation, and assessment activities. ^aFormal stakeholder input was obtained pre-, intra-, and post-QI program implementation via semistructured interviews with key stakeholders. Informal feedback was collected throughout the program through in-person and email interactions with program participants. These interviews were conducted as part of QI program implementation and assessment, and were approved as QI by Geisinger Health. ^bEligible patients were enrolled in the QI program on a rolling basis for the first 6 months of the program (15 in October 2019, two in November 2019, one in December 2019, seven in January 2020, seven in February 2020, and five in March 2020). All QI participants were offered the opportunity to enroll in the research substudy at the time of QI program enrollment. ^cClinical outcome data (e.g., number of completed vascular access care steps, number and type of patient-level barriers to vascular access care, number and type of peer mentoring contacts, and vascular access type at HD initiation) were collected on all QI program patient participants. Research substudy participants completed pre- and postprogram questionnaires assessing patient self-efficacy, knowledge, and confidence, and medical provider/personnel confidence. EHR, electronic health record; QI, quality improvement.