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Treatment Intensification (Combination Therapy) Plan | Treatment Intensification (Combination Therapy) Actual | |
Describe Intervention (Select ONE; useBPAA Project Roadmap for ideas on evidence-based strategies) Chosen intervention: Improve patient engagement – Utilize Mercy Care Fall Festival to take patient blood pressures and schedule follow-ups - this is a new process for Mercy. Plan for intervention: | Chosen Intervention: Low dose combo therapy as the first line in the protocol Mercy Care Fall Festival to take patient blood pressures and schedule follow-ups Date when implemented: 10/23 Updates: The Fall Festival was amazing, a great opportunity to connect with patients, educate and check their blood pressures. | |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | ||
Reach of implementers/providers? Planned: 670 guests attend the Fall Festival Up to 650 attendees based on previous events. | Reach of implementers/providers? Actual: 670 attended the Fall Festival, 120 more than the prior year. | |
Reach of patients (# of patients receiving treatment intensification)? At Health Fair - 40 BP checks, 10 here elevated - education opportunity and 6 visits scheduled Planned:
| Reach of patients (# of patients receiving treatment intensification)? Actual: At Health Fair - 40 BP checks, 10 here elevated - education opportunity and 6 visits scheduled | |
Efficacy (Impact of intervention on important outcomes) | ||
How will you measure that your intervention is working? Have 6 scheduled and attended visits to Mercy CareIf patients who are hypertensive schedule a follow up. 1 would be a success. | Were you able to accurately measure how your intervention was working? Have 6 scheduled and attended visits to Mercy Care. | |
What outcomes do you expect? | What outcomes have you seen? Opportunities for education and improved BP control. | What outcomes have you seen? |
How will you ensure your intervention will be effective for your target population? Adding scheduled visits to the outcomes instead of checking BP as well. | Did your intervention reach the target population? Adding scheduled follow up visits to the outcomes instead of just checking the BP. | |
What unintended consequences or outcomes might there be? | What unintended outcomes did you experience? Previously created protocol to address any concerns | .What unintended outcomes did you experience?, patients in HTN emergency range. |
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. CMA and Nursing staff will be doing BP checks, there will also be at least one provider available. | Who delivered the intervention? Did they have the skills and time needed to complete the intervention? CMA and Nursing staff will be doing BP checks, there will also be at least one provider available. | |
How will you know if clinicians/care teams/sites used the intervention? Whether the patient returns to the office for the scheduled visit. | What proportion of the planned staff/sites implemented the intervention? 7 Medical Assistants, 2-3 assigned to take blood pressures. 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.)? N/A | |
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? HTN patients are allowed to rest for 5 minutes. No need for EMS at the event. | How did you track modifications during the intervention? They were witnessed and implemented by supervisors. | |
What might be some of the possible obstacles to consistent implementation? This was previously implemented, not expecting obstacles to implementation from the staff/site side. | What were the barriers to consistent intervention implementation? No barriers to this implementation. | |
What costs and resources (including time and burden, not just money) need to be considered? Staff time out of the physical clinic building. This was a Saturday and staff were paid overtime. | What costs and resources (including time and burden, not just money) need to be considered? No impact on the clinic being open, this was a Saturday. | |
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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