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Intervention #2 Plan | Intervention #2 Actual |
Describe Intervention | Chosen Intervention: Date when implemented: Not implemented yet, haven’t been able to build it in. Added risk calculator link to iPad to click on videos and clinician use it in internet. Updates: In February 2024, iPads were received by all care teams at Davis. We will be targeting interventional education videos with all patients. Updates: 03/11/24 Three other sites will receive loaded iPads and continue rolling out the risk calculator tool. Napa is shifting towards using QR codes and printed-out flyers/ handouts containing educational materials. Health center is using it as a conversation tool with patients related to side effects/for patients who are high risk/may not be adherent to medications, focus on patient and provider conversations for planning |
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |
Reach of implementers/providers? Planned: All sites, working on the estimated number, probably more than intervention. 2-4 providers. | Reach of implementers/providers? Actual: 2-4 providers, who Davis Family site, will be rolling it out at other sites |
Reach of patients? Planned: 6 patients/day average per team | Reach of patients? Actual: |
Efficacy (Impact of intervention on important outcomes) | |
How will you measure that your intervention is working? number of patients exposed to the risk tool and their understanding, including conversations with provider, what their cardiovascular disease risk means and steps to manage. | Were you able to accurately measure how your intervention was working? suggestion: did patient receive a statin, but also assess patient decision to go on a statin (video, calculator or both - sample of patients) number of conversations to create that change - how do prescribing patterns relate to this |
What outcomes do you expect?
| What outcomes have you seen? the patients have been able to play with the numbers in conjunction with the video, haven’t been able to patients who are already on the statin affirm that they would like to see if they would like to see additional videos in the future. Patients not on statin they play video then play with the calculator |
How will you ensure your intervention will be effective for your target population? we believe patient-driven choice/participation will be more motivating to reduce risk than provider-driven. | Did your intervention reach the target population? Yes, focus on patients who are eligible to be on a statin but weren’t |
What unintended consequences or outcomes might there be? we are hopeful the patient visit will be motivated to achieve positive change however the strategy chosen maybe something other than a statin. | What unintended outcomes did you experience? No unintended outcomes |
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. Providers, medical assistants | Who delivered the intervention? Did they have the skills and time needed to complete the intervention? Easier to have conversations with providers who have established panels, but want providers to have the same tools and for patients to have same information. Providers have the necessary skills, but could move to a health educator/clinical pharmacist (at Napa) in the future |
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? Using QR code, sharing statin patient education video in waiting room and now using in between MA rooming and provider coming in |
What might be some of the possible obstacles to consistent implementation? | What were the barriers to consistent intervention implementation? No existing lists tailored to providers |
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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