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Table 2 Similar strategies

From: Refining Expert Recommendations for Implementing Change (ERIC) strategy surveys using cognitive interviews with frontline providers

Strategy 1

Strategy 2

Frequency of response:

“very clear” or “clear” difference

Quote

Keep strategies separate

 Change accreditation or membership requirements

Create or change credentialing and/or licensure standards

67%

They’re totally different bodies that grant those credentials or license numbers, they’re very different. (P13)

 Facilitate relay of clinical data to providers

Audit and provide feedbacka

83%

The first box is talking about “How do we get…the information or data out to the providers?”…And then the second box seems like, “How do we evaluate how it was received or if it’s being implemented?” (P04)

 Provide local technical assistance

Use an implementation advisora

67%

So technical assistance is…if you have a dashboard, you have someone help you figure out how to find certain populations, how to navigate the dashboard. Whereas the implementation is more of, “Hey, this is what we have available for your site to help you with X, Y, and Z.”…So, implementation is strategies or tools versus the first one is helping you with how to use it. (P01)

Strategies are so similar they can be combined

 Develop and implement tools for quality monitoring

Develop and organize quality monitoring systems

25%

I mean, the word “organize” in the one is different. But I don’t know what the difference between “a quality monitoring system” and “a tool for quality monitoring” is. To me, that sounds like the same thing. (P12)

 Tailor strategies

Promote adaptability

25%

So, when we’re tailoring strategies and promoting adaptability, when I go back and think about maybe examples, yeah it was all about how we can bring Hep C care to the patient and make that access point easier. So, I don’t think our team really distinguished between the two, and that was probably because I didn’t distinguish between the two. (P03)

 Work with educational institutions

Develop academic partnershipsa

33%

It sounds like on the left, it’s maybe a little less committal. You’re just sort of saying, “encouraging,” whereas on the right you’re “partnering.” (P06)

 Involve patients and family members

Obtain and use patients and family feedbacka

33%

That’s unclear as well. It just seems like it’s the same, whether you’re going to involve them or obtain and use their information. Either way, you’re still gonna involve the patient, consumers, and family to get the feedback, so it just seems like it’s a redundant question, maybe. (P10)

 Intervene with patients to enhance uptake and adherence

Prepare patients to be active participants

33%

These seem to be similar, because you’re developing strategies for them to help you with their care for adherence and then preparing them. (P07)

Undecided about separating or combining strategies

 Facilitation

Provide ongoing consultationa

42%

When I think of “facilitation,” I think of a person in charge of some sort of process improvement project. When you use the word “consultation,” that has a clinical meaning, and so as a provider, you are talking about… a consultation [as a] patient specific review of clinical data with recommendations at the end. I don’t see that as being part of the clinical innovation. I see that as referring much more specifically to patient care activities. (P13)

 Conduct educational meetings

Conduct educational visits

42%

Well, the first one, and if you could do that, that would be someone internally, “OK, we’re just going to do it.” And the other one would be an external trainer. (P05)

  1. aStrategies are in different ERIC clusters