Table 1 Use of CFIR domains to select systems-level partners and develop interview questions for the CENTER-IT methodology: Asthma Link case study

Medical providers did not have time to identify potentially eligible patients

Practice managers interviewed to establish optimal procedures for identifying eligible patients

“Some medical providers have said they do not have time to identify whether a patient is eligible for Asthma Link during their clinical encounter, and therefore do not offer the program. Do you have any ideas to address this issue?”

Children and caregivers identified challenges receiving two inhalers from pharmacy

Health Insurance Officials and Pharmacists interviewed to establish protocols

“A requirement of the program is that 2 inhalers be provided: one for school and one for home. How would this best be done? Is there any special process you would recommend?”

“Some families could not pick up two inhalers because their insurance would not cover the cost, despite the total number of inhalers used throughout the year being the same. What suggestions do you have to improve this process?”

School nurses identified challenges ensuring child comes to school health office daily

School Administrators interviewed to establish optimal procedures

“Some school nurses have said that a child may forget to come to the school health office every day. Do you have any ideas to address this issue?”

Medical providers, school nurses, children, and caregivers had concerns that other families, pediatric practices, and schools may not know about Asthma Link

DPH Officials and Legislators interviewed to establish advocacy and dissemination procedures and strategies for policy change/funding

“Some participants had concerns about how to promote the spread of this program. What ideas do you have regarding dissemination and sustainability for a program like Asthma Link at a statewide and nationwide level? What role might your organization play in this process?”