Table 1 Examples of PDSA activities by key driver domain
Key driver | Example activities that facilitators guided practices to implement |
|---|---|
Clinical information systems (CIS) | • Developing a practice-level list and monthly reports of patients with HTN and uncontrolled HTN |
Standard care processes (SCP) | • Working with staff to document BP in EHRs such that the data would populate HTN reports • Standardizing staff behaviors to repeat BP measurements for patients with SBP± and DBP±± values ≥ 140 and/or ≥ 90 mm Hg |
Optimized team care processes (OTC) | • Weekly huddles to identify patients with uncontrolled BP and those requiring extra support; instituting processes for making follow-up calls to check on patient wellbeing and reporting out-of-office BP measurements back to staff |
Patient self-management support (SMS) | • Patient use of BP logs to document out-of-office BP’s and instructing clinical staff on how to address noted BP trends that may be related to stress, lack of medication adherence, etc • Use of “Teach Back” methods and goal setting with patients • Providing a raffle in clinic waiting rooms to receive a home BP monitor as a way to promote home monitoring and self-management |