Appendix Table 3.

Change Process Capacity Questionnaire (CPCQ)

Indicate the extent to which you agree or disagree that your practice has used the following strategies to improve cardiovascular preventive care
Strongly disagree. . . . . . . . 1
Disagree. . . . . . . . . . . . . . . 2
Neutral. . . . . . . . . . . . . . . . 3
Agree. . . . . . . . . . . . . . . . . .4
Strongly agree. . . . . . . . . . .5
CPCQ1Providing information and skills-training
CPCQ2Using opinion leaders, role modeling, or other vehicles to encourage support for changes
CPCQ3Changing or creating systems in the practice that make it easier to provide high quality care
CPCQ4Removal or reduction of barriers to better quality of care
CPCQ5Using teams focused on accomplishing the change process for improved care
CPCQ6Delegating to non-clinician staff the responsibility to carry out aspects of care that are normally the responsibility of physicians
CPCQ7Providing to those who are charged with implementing improved care the power to authorize and make the desired changes
CPCQ8Period measurement of care quality for assessing compliance with any new approach to care
CPCQ9Reporting measurements of practice performance on cardiovascular disease prevention measures (such as aspirin for patients at risk for ischemic vascular disease) for comparison with their peers
CPCQ10Setting goals and benchmarking rates of performance quality on cardiovascular disease prevention measures at least yearly
CPCQ11Customizing the implementation of cardiovascular disease prevention care changes to the practice
CPCQ12Using rapid cycling, piloting, pre-testing, or other vehicles for reducing the risk of negative results for introducing organization-wide change in care
CPCQ13Deliberately designing care improvements so as to make clinician participation less work than before
CPCQ14Deliberately designing care improvements to make the care process more beneficial to the patient
  • Reponses were rescaled to range from −2 to 2 and summed to produce the practice-level CPCQ score, ranging from −28 to 28.