Original plan | Adaptation | |
---|---|---|
Team Composition | • Having an interdisciplinary team including decision-makers, implementers, and support staff | • Clinic A team included 3 providers (2 physicians and 1 APRN) and a nurse care manager hired by the ACO • Clinic B team included 1 lead physician, 1 clinical data coordinator, 1 nurse care coordinator, 1 referral/scheduling coordinator, and 1 care manager |
Format | • 15–20 minutes video lectures through learning management system (LMS) followed by 30-minute live-streaming conference call/video | • Clinic A prefers to receive information (video links and surveys) via email rather than using web based LMS. • Clinic B adopted LMS. |
Learning approach | • Participants are expected to watch video individually and come to live-streaming session for group discussion. | • Clinic A prefers to watch the video together followed by group discussion in a reserved conference room (group learning approach). • Clinic B prefers to watch lecture video individually followed by group discussion via live-streaming conference (hybrid learning approach) |
Delivery | • Deliver all 8 sessions in a monthly interval (8 months). • Up to 3 weekly reminders to complete video lectures prior to live-streaming sessions | • Delivered sessions in a monthly interval except the two months affected by COVID-19 (10 months) • Clinic A: 7 sessions were delivered (Skipped session 2 after receiving feedback that they would like to minimize basic definition parts and jump right into the EBI examples). • Clinic B: All 8 sessions were delivered as planned. |