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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: Activate SMBP at Abbotsford Plan for intervention:
| Chosen Intervention: Reactivating the SMBP program at Abbottsford Falls Date when implemented: SMBP educational presentation presented to all NP’s at Abbotsford on Dec 8th SMBP training with RN’s performed onsite on Jan 16th SMBP was implemented on 1/17 at abbotsford Updates: |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |
Reach of implementers/providers? Planned:
| Reach of implementers/providers? Actual: 2 RN’s 2/20 update - RNs enrolling patients, working with NPs to ensure they are aware of the program to direct to RNs for enrollment, starting to move forward despite being a work in progress |
Reach of patients (# of patients receiving treatment intensification)? We will reach 30 patients for treatment intensification Planned:
| Reach of patients (# of patients receiving treatment intensification)? Actual: 10 patients on no therapy have moved to therapy 2/20 update - 9 patients have been enrolled in SMBP - will look into how BP has changed since then for monotherapy trying to resolve - whether it is identifying patients who have htn or just have a Rx for medication troubleshooting and working way backwards - one challenge is those using FPCN as PCP vs specific services one example is patients who might be seeing for dental, podiatry etc Need to review data discrepancy for monotherapy |
Efficacy (Impact of intervention on important outcomes) | |
How will you measure that your intervention is working?
| Were you able to accurately measure how your intervention was working? 2/20 - will update these |
What outcomes do you expect?
| What outcomes have you seen? Process for Refills- (patients who have not had BP taken in the office but still receiving |
How will you ensure your intervention will be effective for your target population?
| Did your intervention reach the target population? Yes, |
What unintended consequences or outcomes might there be?
| 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. Rn’s and providers at Abbs will deliver the intervention | 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?
| 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? 2/20 - do have a workflow so staff can see visually what should be happening one goal is to have SMBP enrollment process embedded in provider training |
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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