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Plan | Actual | ||
Describe Intervention Chosen intervention: Provide Statin Education to providers during regularly scheduled provider meeting – CDPHP to come onsite. Awaiting presentation. Plan for intervention: CDPHP to come onsite for 1-hour educational session during provider meeting on a TBD date. | Chosen Intervention: Statin Education Presentation Date when implemented: scheduled for 8/29/24 Updates: Received presentation from CDPHP on 2/5/24, sent to CMO for approval. CMO approved, date for 1 hour presentation set for 8/29/24 during provider meeting. CDPHP training occurred on 8/29/24. Shared resource from NACHC: recording from NACHC on “Statin Management in High Risk Groups” by Kate Kirley. (additional note: health center is looking to implement POC cholesterol testing) The NACHC “Statin Therapy for High Risk Groups” video will be presented on March 14th at the provider meeting. Video actually presented during meeting on March 15. | ||
Reach (#/% patients – or providers, for provider-facing interventions – who participated in intervention) | |||
Reach of implementers/providers? Planned: 18 providers | Reach of implementers/providers? Actual: 14 providers CDPHP Training: 14 providers | ||
Reach of patients? Planned: N/A | Reach of patients? Actual: | ||
Efficacy (Impact of intervention on important outcomes) | |||
How will you measure that your intervention is working? Pre/post-test or provider feedback | Were you able to accurately measure how your intervention was working? N/A – intervention scheduled for August What outcomes do you expect? Improved test score from pre to post-test. | What outcomes have you seen? N/A – intervention scheduled for AugustAfter training, provider feedback was received. Providers shared that overall the training was effective and they learned things they were not aware of regarding statin therapy. Due to provider survey fatigue, the pre & post tests were not completed, but verbal feedback was encouraged. | |
What outcomes do you expect? Improved test score from pre to post-test. | What outcomes have you seen? Providers verbalized the training was helpful and they learned some new things regarding statin therapy intervention. | ||
How will you ensure your intervention will be effective for your target population? CMO to review presentation for appropriateness. | Did your intervention reach the target population? Intervention scheduled for August, but target population will be all primary care providers at HHC. Intervention reached the primary care providers within the organization. | ||
What unintended consequences or outcomes might there be? Provider frustration/pushback at pre/post-tests. | What unintended outcomes did you experience? N/A – intervention scheduled for August | pre/post-tests. | What unintended outcomes did you experience? Some providers expressed they’re not “quick to jump on board” with certain aspects, such as placing all diabetes pts in the high risk group statin meds. |
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. CDPHP to present at Schenectady site in conjunction with CMO/QM. | Who delivered the intervention? Did they have the skills and time needed to complete the intervention? CDPHP will present on 8/29/24. They are highly skilled in the area of statin therapy and provided a very professional and structured training overview to us that will serve to be very beneficial to our providers. They will have a full hour to educate and take questions. 8/29 training session on statin therapy was conducted by a CDPHP representative. | ||
How will you know if clinicians/care teams/sites used the intervention? Meeting attendance. | What proportion of the planned staff/sites implemented the intervention? N/A – intervention scheduled for AugustWere All primary care providers attended the training. 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.)? There were no differences noted. | ||
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? Provider engagement with presenters/CMO. | How did you track modifications during the intervention? Intervention set for 8/29/24Provider engagement with presenters/CMO | ||
What might be some of the possible obstacles to consistent implementation? Staff call outs/provider schedules. | What were the barriers to consistent intervention implementation? Not all providers present during March 15 meeting. Since the next educational session is set for 8/29/24, it is likely that we will face call outs and/or summer vacations and staff will be out. Slides will be provided to those not in attendance. During the meeting, there were no barriers noted. | ||
What costs and resources (including time and burden, not just money) need to be considered? Provider Time: 1 hour block to provider schedules | What costs and resources (including time and burden, not just money) need to be considered? Provider schedules are blocked so that they are not seeing patients during this educational session and are uninterrupted. | ||
How closely did the staff/sites follow the intervention design and deliver as intended? Check all that apply:
Modifications made and other notes: Due to survey fatigue, pre & post tests were not performed. | |||
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: If proven effective, we may offer regular trainings by CDPHP or other plans. Potentially will develop a protocol. | What reinforcements did you put into place to sustain the intervention?
Explain: Tool developed for providers to assess risk of patients related to stating therapy. | ||
How will you spread your intervention and lessons learned? Touchbase with providers at 1 month post training to get provider feedback on what’s working/what’s not, etc. | How will you spread your intervention and lessons learned? Touchbase with providers at 1 month post training to get provider feedback on what’s working/what’s not, etc. | ||
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)? Feels the provider buy-in and engagement is present. Have some difficulties coordinating staffing schedules to have all providers present. | |||
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