Table 1 Study timeline demonstrating dynamic trends in Reach and Adoption
Month/year | Reach (#Patients with COVID who received LUS/total # patients with COVID | Incremental increases in Credentialing Adoption (number of new attendings credentialed) | Incremental increases in Ordering Adoption (number of new providers ordering) | Implementation strategy deployed or discontinued (ERIC strategy) |
|---|---|---|---|---|
May 2020 | 0%(0/255) | 0 | 0 | IS 1: Targeted email reminders to COVID faculty. (Remind clinicians) |
June 2020 | 1% (1/84) | 0 | 0 | |
aJuly 2020 | 28% (35/125) | 0 | 4 | IS 2: Mandate procedure service physicians to be credentialed and perform LUS as part of their usual clinical duties (Mandate change) |
August 2020 | 59% (37/63) | 1 procedure service attending | 5 | IS 3: Have procedure service attendings supervise and perform image acquisition (Promote adaptability) |
September 2020 | 15% (13/89) | 0 | 3 | IS 4: Use remote teleguidance software to remotely supervise LUS image acquisition (Change physical structure and equipment) |
October 2020 | 2% (4/222) | 1 Non-procedure service attending | 1 | |
November 2020 | 5% (26/547) | 0 | 1 | IS 5: Circulate academic papers to address COVID-19-specific barriers (Distribute educational materials) |
December 2020 | 1% (10/695) | 1 procedure service attending | 4 | |
January 2021 | 1% (31/2072) | 0 | 2 | |
February 2021 | 2% (45/1914) | 0 | 12 | IS 6: Intensify IS2 to mandate for procedure service APPs to become credentialed – add accountability metrics and support (Mandate change) IS 1 stopped (De-implement) |
March 2021 | 1% (21/2172) | 0 | 2 | |
April 2021 | 2% (35/2295) | 1 procedure service attending | 2 | |
May 2021 | 1% (27/2335) | 0 | 3 | IS 7: Billing data accrued demonstrates program is budget neutral and continued funding is approved by clinical leadership (Access new funding) |
bJune 2021 | 1% (32/2147) | 0 | 4 | |
Total for the study period | 2% (298 of 12567) | 5% (4 of 86) | 50% (43 of 86) | |
cJuly 2021 | 1% (33/2263) | 0 | 0 | |
cAugust 2021 | 2% (43/2311) | 0 | 3 | |
cSeptember 2021 | 3% (70/2348) | 0 | 4 | |
cOctober 2021 | 3% (67/2387) | 0 | 8 |