Key Informant Tool: Matrix and Questions
| Domain | Topic Area | Question | Perspective | Target Informant |
|---|---|---|---|---|
| Basic Administrative Information | Administrative | Please tell me about your organization (organizational type, number of clinical sites, primary geography, average number of patients, etc). | Administrative | Administrator |
| Model Design and Implementation | Education/Training | Please describe the education/training program(s) that are used by your organization. | Administrative | Administrator, Clinical Director, Care Team Members |
| Education/Training | Why was this education/training program selected? | Administrative | Administrator, Clinical Director | |
| Education/Training | How well do you think the training program prepared you/your team for implementation? | Administrative, clinical | Administrator, Clinical Director, Care Team Members | |
| Education/Training | Please describe any strengths or weakenesses in the education/training program. | Administrative, clinical | Administrator, Clinical Director, Care Team Members | |
| Resource Requirements | From the administrative perspective, please describe the resources (human and non-human) required to implement your current program. | Administrative | Admininstrator, Clinical Director | |
| Resource Requirements | Where these resources already available with your organization or where they acquired specifically for the purpose of integrating the model? | Administrative | Admininstrator, Clinical Director | |
| Financial mechanism | What mechanism(s) are used to finance the integration of oral health services into priamry care delivery at your organization? | Administrative | Admininstrator, Clinical Director | |
| Target population | What population does your model focus on reaching? | Administrative and clinical | Admininstrator, Clinical Director | |
| Target population | Why was this population selected? | Administrative and clinical | Admininstrator, Clinical Director | |
| Clinical services | Please describe the specific oral health services that are delivered as a part of the model. | Administrative, clinical, community | Admininstrator, Clinical Director, Care Team Members, Patients/Families | |
| Care Team Members | Which care team members are directly involved in the delivery of oral health services and what are their specific roles? | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Patient Selection | What protocols/strategies are used to identify patients? | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Clinical operations | Please describe the process(es) for delivery of oral health services in the primary care setting. | Administrative, clinical, community | Admininstrator, Clinical Director, Care Team Members, Patients/Families | |
| Evaluation | Measures of Success | What measures are you using (or plan to use) to evaluate the success with your model? | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members |
| Methods of Evaluation | What tools (clinical data, patient surveys, etc.) are you using to gather information to evaluate your program? | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Interaction | Please describe your interaction (who was the patient, what services were provided, and by whom) with the oral health integration program. | Community | Patient/Family | |
| Impact | How did this program impact your families ability to access to dental services? | Community | Patient/Family | |
| Satisfaction | How pleased are you with the oral health services you received? | Community | Patient/Family | |
| Strategic Factors | Internal facilitators | Please describe the people, processes, or other resources within your organization or the health center which supported integration. | Administrative, clinical, community | Admininstrator, Clinical Director, Care Team Members, Patients/Families |
| External facilitators | Please describe the people, processes, or other resources outside of your organization or the health center which supported integration. | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Internal barriers | Please describe the people, processes, or other resources within your organization or the health center which were a barrier to integration. | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| External barriers | Please describe the people, processes, or other resources outside of your organization or the health center which were a barrier to integration. | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Addressing barriers | Please describe how these barriers where overcome or addressed. | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Sustainability and Expansion | Please describe the plans, if any exist, for long term sustainability of the model within your organization. | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members | |
| Sustainability Factors | What factors, if any, will be required for or influence longterm sustainability of the model within your organization? | Administrative and clinical | Admininstrator, Clinical Director, Care Team Members |