Table 2.

Key Driver Implementation Scale (Descriptions Have Been Shortened for Publication)

Clinical Information Systems (CIS). The practice…
    0currently does not review practice population data
    1trusts their BP data reports enough to consider implementing change activities
    2has access to reliable data on their patients with HTN
    3reviews BP data monthly, discusses how to make changes to improve processes to optimize BP control
Standardized Care Processes (SCP). The practice…
    0no activity on following evidence-based protocols for HTN
    1has identified ≥ evidence-based protocol(s) for HTN, has begun customizing it for their practice
    2has no activity on following evidence-based protocols for hypertension
    3has established a workflow to implement ≥ 1 HTN protocol, and it has been tested it on a few patients
    4has implemented an evidence-based protocol for HTN, but not yet used with all patients
    5routinely fully implements ≥ 1 evidence-based protocol for HTN
Optimized Team Care (OTC). The practice…
    0has no QI activities related to HTN
    1has occasional meetings/discussions about HTN QI, but no practice-wide understanding of QI
    2has a QI team that communicates regularly, plans tests, discusses results, knows project's focus/measures
    3QI team runs multiple tests simultaneously, communicates findings, and the entire office staff
Self-Management Support (SMS). The practice…
    0currently has no activity on self-management support for patients with hypertension
    1staff understands the difference between patient education and self-management support
    2identifies HTN related SMS resources and incorporates the use of the resources into their workflow
    3develops tracking systems to monitor use of HTN-related SMS resources
    4care team collaborates with patients to sets, documents, and reviews HTN-related SMS goals
    5care team assess patients' confidence level related to managing their hypertension
  • HTN, hypertension; QI, quality improvement.