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