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Instructions: Use the pencil icon in the top right to edit the form below. ↗️ Remember to push PUBLISH when you are done to save your work. |
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Treatment Intensification (Combination Therapy) Plan | Treatment Intensification (Combination Therapy) Actual | |
Describe Intervention (Select ONE; use BPAA Project Roadmap for ideas on evidence-based strategies) Chosen intervention: EMBED ALGORITHM INTO CARE PROCESSES. Plan for intervention: Engage clinicians across the organization in the develop of a treatment protocol for hypertensive patients and pilot implementation of the protocol. | Chosen Intervention: Date when implemented: Updates: | |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | ||
Reach of implementers/providers? Planned: 18 Providers | Reach of implementers/providers? Actual: | |
Reach of patients (# of patients receiving treatment intensification)? Planned:
| Reach of patients (# of patients receiving treatment intensification)? Actual: | |
Efficacy (Impact of intervention on important outcomes) | ||
How will you measure that your intervention is working? Assess Providers barriers and successes through surveys and discussions during Provider meetings; Monitor Dr. Malcom’s patients during the pilot. Monitor PVP alert closure per AMA cohort. | Were you able to accurately measure how your intervention was working? | |
What outcomes do you expect? Standardized protocol for all Providers throughout Western Wayne. | What outcomes have you seen? | |
How will you ensure your intervention will be effective for your target population? Monitor process and outcome data within the Million Hearts Scorecard in Azara. | Did your intervention reach the target population? | |
What unintended consequences or outcomes might there be? | How will you ensure your intervention will be effective for your target population? Monitor process and outcome data within the Million Hearts Scorecard in Azara. | What unintended consequences or outcomes might there be? Provider apprehension |
Adoption (#/% and representativeness of staff and sites who implemented the intervention) How did clinicians respond to interventions to intensify medication more rapidly/address therapeutic inertia? | ||
Who will deliver the intervention (actually do the work)? Include staff and sites, if applicable. PRIMARY LOCATION: Inkster - Dr. Latisha Malcom PILOT LOCATION: Lincoln Park - Dr. Sanjoy Mukerjee Provider apprehension | What unintended outcomes did you experience? | |
Adoption (#/% and representativeness of staff and sites who implemented the intervention) How did clinicians respond to interventions to intensify medication more rapidly/address therapeutic inertia? | ||
Who will deliver the intervention (actually do the work)? Include staff and sites, if applicable. PRIMARY LOCATION: Inkster - Dr. Latisha Malcom (MD), Medical Assistants (MA), Community Health Workers (CHW), Clinical Supervisors. PRIMARY PILOT LOCATION: Lincoln Park - Dr. Sanjoy Mukerjee (MD), Medical Assistants (MA), Community Health Workers (CHW), Clinical Supervisors. SECONDARY PILOT LOCATION: Taylor - Danielle Gertz (NP), Medical Assistants (MA), Community Health Workers (CHW), Clinical Supervisors. SECONDARY PILOT LOCATION: Dearborn - Dr. Mazraani (MD), Medical Assistants (MA), Community Health Workers (CHW), Clinical Supervisors. | Who delivered the intervention? Did they have the skills and time needed to complete the intervention? | |
How will you know if clinicians/care teams/sites used the intervention?teams/sites used the intervention? Review the change in the measure, AMA MAP BP™ - HTN-Medication Intensification, from baseline provider meeting. Establish touch-base through provider meetings. | What proportion of the planned staff/sites implemented the intervention? Were there any differences between care teams/sites who adopted the intervention best vs. others who did not (e.g., differences in staff types, capacity, etc.)? | |
Implementation Fidelity (How closely the staff/sites followed the intervention design, delivered it as intended – also called fidelity to the intervention) | ||
How will you know what adaptations or modifications were made during the intervention? | How did you track modifications during the intervention? | |
What might be some of the possible obstacles to consistent implementation? | What were the barriers to consistent intervention implementation? | |
What costs and resources (including time and burden, not just money) need to be considered? | What costs and resources (including time and burden, not just money) need to be considered? | |
How closely did the staff/sites follow the intervention design and deliver as intended? Check all that apply:
Modifications made and other notes: | ||
Maintenance (Extent to which intervention is part of routine practices and protocols) | ||
What reinforcements will you put in place to sustain the intervention, if effective?
Explain: | What reinforcements did you put into place to sustain the intervention?
Explain: | |
How will you spread your intervention and lessons learned? | How will you spread your intervention and lessons learned? | |
What are likely modifications or adaptations that will need to be made to sustain the intervention over time (e.g., lower cost, different staff, reduced intensity, different settings)? | ||
Intervention #2 Plan | Intervention #2 Actual |
Describe Intervention (Select ONE; use BPAA Project Roadmap for ideas on evidence-based strategies) Chosen intervention: INCREASE TOUCHPOINTS Plan for intervention: Establish frequent follow-up protocol for patients with uncontrolled hypertension (e.g., 2-4 weeks), including use of telemedicine. | Chosen Intervention: Date when implemented: Updates: |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |
Reach of implementers/providers? Planned: 495 Patients | Reach of implementers/providers? Actual: |
Reach of patients (# of patients receiving treatment intensification)? Planned:
| Reach of patients (# of patients receiving treatment intensification)? Actual: |
Efficacy (Impact of intervention on important outcomes) | |
How will you measure that your intervention is working? Monitor data in the Million Hearts Scorecard in Azara (Follow Up Measure). | Were you able to accurately measure how your intervention was working? |
What outcomes do you expect? Improvement on Uncontrolled HTN on No Anti-HTN Medications reduced by 5%. Goal: 10%. | What outcomes have you seen? |
How will you ensure your intervention will be effective for your target population? Monitor data in Million Hearts Scorecard in Azara; Monitor PVP reports at point of care specific to cohort. | Did your intervention reach the target population? |
What unintended consequences or outcomes might there be? Patient apprehension and appointment compliance. | What unintended outcomes did you experience? |
Adoption (#/% and representativeness of staff and sites who implemented the intervention) How did clinicians respond to interventions to intensify medication more rapidly/address therapeutic inertia? | |
Who will deliver the intervention (actually do the work)? Include staff and sites, if applicable. All WWFHC Sites: Providers (MD), Medical Assistants (MA), Community Health Workers (CHW), Clinical Supervisors. | Who delivered the intervention? Did they have the skills and time needed to complete the intervention? |
How will you know if clinicians/care teams/sites used the intervention? Monitor data in HTN Follow-up after visit with uncontrolled HTN-Follow-Up After Visit with Uncontrolled HTN per WWFHC site. | What proportion of the planned staff/sites implemented the intervention? Were there any differences between care teams/sites who adopted the intervention best vs. others who did not (e.g., differences in staff types, capacity, etc.)? |
Implementation Fidelity (How closely the staff/sites followed the intervention design, delivered it as intended – also called fidelity to the intervention) | |
How will you know what adaptations or modifications were made during the intervention? | How did you track modifications during the intervention? |
What might be some of the possible obstacles to consistent implementation? | What were the barriers to consistent intervention implementation? |
What costs and resources (including time and burden, not just money) need to be considered? | What costs and resources (including time and burden, not just money) need to be considered? |
How closely did the staff/sites follow the intervention design and deliver as intended? Check all that apply:
Modifications made and other notes: | |
Maintenance (Extent to which intervention is part of routine practices and protocols) | |
What reinforcements will you put in place to sustain the intervention, if effective?
Explain: | What reinforcements did you put into place to sustain the intervention?
Explain: |
How will you spread your intervention and lessons learned? | How will you spread your intervention and lessons learned? |
What are likely modifications or adaptations that will need to be made to sustain the intervention over time (e.g., lower cost, different staff, reduced intensity, different settings)? | |
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