Implementation Strategies Used by Practice Facilitators with Primary Care Practices
| Percent of practices with which practice facilitators used the strategy (n = 44) | |||||||
|---|---|---|---|---|---|---|---|
| Implementation Strategy | At Least Once During the Study | Q1 | Q2 | Q3 | Q4 | Q5 | |
| Commonly Used (Present in > 80% of sampled practices) | Develop and/or implement tools for quality monitoring | 100% | 93% | 93% | 77% | 63% | 63% |
| Assess barriers that may impede implementation | 95% | 70% | 63% | 61% | 43% | 43% | |
| Assess for readiness or progress | 93% | 75% | 45% | 36% | 39% | 27% | |
| Develop and support teams | 91% | 41% | 52% | 73% | 49% | 55% | |
| Conduct educational meetings | 86% | 53% | 43% | 23% | 11% | 16% | |
| Moderately used (present in 20 to 80% of sampled practices) | Use data experts | 75% | 45% | 50% | 34% | 30% | 11% |
| Distribute educational materials | 73% | 30% | 39% | 34% | 32% | 23% | |
| Capture and share local knowledge and promote network weaving | 66% | 18% | 32% | 18% | 23% | 27% | |
| Identify and prepare champions | 61% | 32% | 20% | 25% | 9% | 23% | |
| Conduct ongoing training | 59% | 27% | 18% | 30% | 14% | 16% | |
| Prepare patients/consumers to be active participants | 45% | 9% | 16% | 16% | 20% | 18% | |
| Assess facilitators that enhance implementation | 36% | 27% | 9% | 5% | 0% | 5% | |
| Train for leadership | 32% | 18% | 7% | 7% | 5% | 0% | |
| Promote adaptability | 30% | 2% | 18% | 9% | 7% | 11% | |
| Rarely used (present in <20% of sampled practices) | Conduct educational outreach visits | 14% | 5% | 5% | 5% | 0% | 0% |
| Involve patients/consumers and family members | 14% | 9% | 2% | 0% | 2% | 2% | |
| Facilitate relay of clinical data to clinicians | 11% | 7% | 2% | 2% | 2% | 0% | |
| Remind clinicians | 11% | 0% | 5% | 9% | 2% | 0% | |
| Tailor strategies | 11% | 0% | 5% | 9% | 2% | 0% | |
| Obtain and use patients/consumers and family feedback | 9% | 7% | 2% | 2% | 0% | 2% | |
| Build a coalition | 9% | 0% | 2% | 0% | 5% | 2% | |
| Identify early adopters | 7% | 5% | 2% | 5% | 0% | 0% | |
| Develop/use a formal implementation blueprint | 7% | 2% | 2% | 0% | 0% | 2% | |
| Audit and provide feedback | 7% | 0% | 5% | 2% | 2% | 0% | |
| Make training dynamic | 2% | 2% | 0% | 0% | 2% | 0% | |
| Inform local opinion leaders | 2% | 0% | 0% | 0% | 0% | 2% | |
* Present in the first five quarters, for practices with data in the first five quarters of the Healthy Hearts Northwest (H2N) study.