Table 2 Practice facilitation (PF) strategies
ALTA component | ALTA PF strategy |
|---|---|
Identify | • Assist clinic staff in identifying ALTA-eligible patient by using HYPERTENSION registries • Assist clinic staff in utilizing the HYPERTENSION registry to identify ALTA-eligible patients • Assist practices in optimizing the HYPERTENSION registry to simplify prioritization of HYPERTENSION patients that can benefit from health coaching |
Refer | • Assist clinic staff in developing a referral workflow that supports referral to a health coach • Assist clinic staff in referring ALTA-eligible patients to a health coach |
Coach | • Assist clinic staff in developing a health coaching session workflow that maximize the delivery of the intervention by using the ALTA structured tool to: o Reconcile HYPERTENSION medications and optimize treatment regimen using structured algorithm o Assess patient’s treatment goals o Assess medication adherence o Identify adherence barriers and facilitators o Develop goal/action plan for improved adherence • Assist clinic staff in using patient-centered communication |
Document | • Assist clinic staff in documenting short progress notes with the patient’s HYPERTENSION treatment regimen, adherence level, and adherence goal/action plan in the EHR to inform other team members of the patient’s status |
Monitor | • Assist clinic staff in identifying opportunities for follow-up • Assist clinic staff in scheduling and using calls, text or portal messages to monitor and contact patients in need of follow-up |
ALTA quality improvement component | ALTA PF strategy |
Dashboards/reporting | • Assist clinic staff in allocating resources for quality improvement activities and developing a reporting process to assess fidelity • Assist clinic staff in assessing quality improvement activities with HYPERTENSION management performance dashboards |
Establish operational systems | • Assist clinic staff in optimizing EHR functionality to support adherence to ALTA interventions • Assist clinic staff in identifying a workable HYPERTENSION workflow that includes the ALTA key drivers • Assist staff to identify and resolve barriers to implementation fidelity |