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Intervention #2 Plan | Intervention #2 Actual |
Describe Intervention (Select ONE; useBPAA Project Roadmap for ideas on evidence-based strategies) Chosen intervention: Outreach intervention to engage patients with uncontrolled blood pressure readings using text messaging system Luma to schedule with PCP for blood pressure management and sign up for HTN SMBP program. Plan for intervention: Unity utilized data from the Azara system to identify patients who have a BP greater than 140/90. Unity will use LUMA to send patients a link to opt in for SMBP education. | Chosen Intervention: 2/15: Date when implemented: messaging sent in November or December (will need to circle back on this) Updates: 2/15: text message survey do you want to get back into care. survey went into spreadsheet divided by health center and went to nurse managers |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |
Reach of implementers/providers? Planned: All clinical staff | Reach of implementers/providers? Actual: |
Reach of patients (# of patients receiving treatment intensification)? Planned: 10,000+ messages sent out to patients with BP>140/90.
| 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? Unity will use the number of patients that choose to “opt-in” to determine if the intervention is working or not. | Were you able to accurately measure how your intervention was working? 2/15: message that got in for visit - this intervention created before nurse visits are not billable anymore, also have shortage of nurses and they are being redistributed, who from team can pitch in |
What outcomes do you expect? Unity expects patients to receive the message and either opt-in to receive care or choose not to opt-in. Unity feels this will lead to a decrease in patients who have a BP>140/90. | What outcomes have you seen? have found out that people will respond to these text messages 500 responded of the 10,000 sent out |
How will you ensure your intervention will be effective for your target population? Unity will measure number of patients who schedule a follow up appt with PCP. | Did your intervention reach the target population? |
What unintended consequences or outcomes might there be? There could be a low response rate to the text messages being sent out, patients could disengage, and patients could view message as spam. | 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. Unity’s Chief Medical Information Officer, Chronic Care Program Manager, and Nurses. | 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? Unity will need a workflow to ensure there is a nurse visit order. The team is looking into developing a HTN template in eCW. | 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? All modifications will have to be presented to the Chronic Care Program Manager and HTN Lead. | How did you track modifications during the intervention? |
What might be some of the possible obstacles to consistent implementation? Lack in responses from patients and patients, the nurse visits getting scheduled (capacity issues in clinics), and patients actually attending the visits. | What were the barriers to consistent intervention implementation? |
What costs and resources (including time and burden, not just money) need to be considered? Clinical support, organizational commitment, facility space to hold sessions, loss of revenue if poor attendance, financial and time costs for marketing program, logistical and administrative time to manage outreach and data, ability to access data reports. | 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: Regular reporting and following up with clinical staffing. | What reinforcements did you put into place to sustain the intervention?
Explain: |
How will you spread your intervention and lessons learned? Utilizing the HTN and Chronic Care Working Group meetings and Unity wide communications. | 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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