Engagement Questionnaire Items*
| # | Engagement Measure | Purpose of the Questionnaire | Scale |
|---|---|---|---|
| (1) | Practice responsiveness to external support | HVH coach support was assessed by asking: “How would you rate the practice’s responsiveness to the external support provided?” | 3 = High 2 = Moderate 1 = Low |
| (2) | Overall practice response at coach visit | Assessed the engagement level of the practice during the coach’s visit. | 3 = High 2 = Moderate 1 = Low |
| (3) | Overall team assessment for the HVH | Assessed the level of practice team involvement for the HVH related activities. | 3 = High activity 2 = Moderate activity 1 = Low activity |
| (4) | Assessment of site leadership | Assessed the engagement level of practice leadership (lead physician or practice manager) during the HVH. | 3 = High leadership support (job descriptions and/or performance evaluations are tied to QI) 2 = Moderate leadership support (some coordination of projects exists; QI work is somewhat integrated into daily routines) 1 = Low leadership support (leadership is involved, but no organized improvement structure) |
| (5) | Team engagement | Assessed the level of team engagement for the HVH project. | 3 = High 2 = Moderate 1 = Low |
| (6) | Clinician engagement | Assessed the level of clinician engagement (physician, nurse practitioner, physician assistant) during the HVH. | 3 = High 2 = Moderate 1 = Low |
| (7) | Staff engagement | Assessed the engagement level of staff (ie, registered nurses, medical assistants, practice managers, billing personnel, receptionists, back office workers, licensed nurse practitioners) during the HVH. | 3 = High 2 = Moderate 1 = Low |
QI, quality improvement; HVH, Heart of Virginia Healthcare.
The order of the engagement instrument scale was from 1 to 3, a positive response receiving the highest score of engagement: 3 = “high,” 2 = “moderate,” and 1 = “low.”
↵* The engagement instrument was developed by the EvidenceNOW (2016) for this purpose. (Source: US Department of Health and Human Services. Agency for Healthcare Research and Quality (AHRQ). EvidenceNow: advancing heart health in primary care, 201611).