Table 1. Sample of Registry Item of the Practice Assessment Scales/Key Driver Implementation Scale^* in Improving Performance in Practice

Item No.	Item Title	Description
0	No activity	There has been no activity on registry adoption or use.
1	Selected	The practice has chosen a registry but has not yet begun using it.
2	Installed	The practice has a registry installed on a computer and has set up a template, and entered demographic data on patients of interest (e.g., diabetes) or has outlined a process to systematically enter the data.
3	Testing workflow	The practice is testing the process for entering clinical data into the registry but is not yet using the registry to help with the daily care of patients.
4	Patient management	All clinical data is entered into the registry and the practice is using the registry daily to plan patient care and is able to produce consistent reports on population performance.
5	Full integration	Registry is kept up to date with a consistent and reliable process. The practice checks on and monitors the registry processes and uses the registry to manage the entire patient population.

For the full scale see http://forces4quality.org/sites/default/files/tool6.1ipippractice%20assessment%20template.pdf.
↵* The Key Driver Implementation Scale term is that used by the investigators of the Transforming Primary Care Practice in North Carolina (AHRQ R18 HS019131).