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Standardized capacity-building activities
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Education, training, technical assistance
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Training staff on iPad and DA use (F); keeping iPads charged (B); IRB concerns (B)
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Clinic champion
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Staff time shortage/buy-in (B); convincing multiple providers (B); change fatigue (B)
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Refresher training course
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Knowledge retention (F)
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Tailored, clinic-targeted activities
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DA reminder in patient intake process
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Coordinating/training front desk staff (F); slowing clinic flow (B)
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Audit and feedback
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Engaging clinic staff and maintaining engagement (F); training front desk staff (F)
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Team huddles/clinic meetings
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Staff time shortage/buy-in (B); failure to systematically apply DA into existing processes (B)
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Tailored, patient-targeted activities
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Pre-visit patient portal message with DA link
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Length of the DA (B); need to complete other surveys during the visit (B)
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Paper-based version of the lupus DA
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Too much information at once (B); patient mood, language, background, and understanding (B)
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Clinic poster about the lupus DA
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Understanding/interest (B)
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DA information via waiting room TV/kiosk
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Language/literacy/understanding/interest (B)
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