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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: Adopt and activate a hypertension management algorithm based on participation in SMBP Plan for intervention: -Review algorithm examples -Present algorithm to providers -Revise algorithm as needed -Activate algorithm inc | Chosen Intervention: Date when implemented: Updates: 12/19 in the last month have just received Azara data nd in the process of validation -making sure SMBP data is flowing into Azara properly, other BP data is already validated. Dr Joy will review algorithms in the next month Updates as of 2/6: Dr. Joy has HTN 80-90% of the algorithm complete and needs to send info over to CMO (Dr.Wong) then the algorithm can be rolled out. Education for staff on proper techniques for taking BP (MA’s and nurses) is scheduled for later this month. As of 2/6 Adopting a competency piece (ex: MA BP competency checks performed for Feb ) as of 2/13 almost done with algorithm - will be working with staff on the BP measurement and will review to see how works with SMBP planning provider education for March including reviewing guidelines will officially roll out then. wlll incorporate peer review. have done survey with providers on Tx. Once algortihm done will be open to all providers as will Diane - as nurse be able to titrate medications on her own |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |
Reach of implementers/providers? Planned: 20% of providers | Reach of implementers/providers? Actual: TBD upon implementation |
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? will start with a list of patients in i2i using patient search feature and also look at pts w/ uncontrolled htn on 1 medication
| Were you able to accurately measure how your intervention was working? TBD upon implementation will be using Azara to assess, Diane will be checking regularly, will also be checking weekly for all providers. Very eager to get to patients on no Tx. after working in Azara. Survey monkey - 50% are treating stage 2 with two or more medications - there is some work to do - combo in the algorithm Megs suggestion - able to do study groups in Azara to see which providers are prescribing SPCT and if patients are responding also are encouraging providers to use SMBP program |
What outcomes do you expect?
| What outcomes have you seen? |
How will you ensure your intervention will be effective for your target population?
| Did your intervention reach the target population? |
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. Dr. Joy, Diane, Rafaela, and providers at sites. | 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? |
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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