From: Strengthening methods for tracking adaptations and modifications to implementation strategies
Documentation tool | Data elements |
---|---|
Clinic Action Plan (CAP) Tracker: Which action plan step and task had been completed by each clinic; noted if targeted screening population had changed When collected: Form completed by clinics prior to each study clinic check-in call (2x/month) | Date of check-in |
Date each CAP step completed | |
Completion status of each CAP step | |
Any implementation challenges* | |
Changes in population targeted for SDH screening | |
Notes** | |
Check-In Tracker: Overview of the content planned and outcomes from each of the check-in meetings with individual clinics When collected: Completed after each clinic check-in. | Date of check-in |
Planned agenda | |
Led by which team members | |
Attended by which clinic staff | |
Attended by which IST staff | |
Summary of discussion | |
Next steps / action items | |
Comments / clarifications | |
Peer Support Call Tracker: The planned content and outcomes from the peer support meetings with all clinics in a given wedge When collected: Planned content â prior to each call, at the IST meeting; outcomes â at the IST meeting after the Office Hours | Date |
Planned agenda | |
Led by which team members | |
Attended by which clinic staff | |
Summary of discussion | |
Next steps/ action items* | |
Comments | |
Materials Tracker: Materials sent to clinics and received from clinics When collected: Updated on an ongoing basis after materials were sent out to each clinic | Materials sent to clinics |
Dates materials were sent | |
Materials received from each clinic* | |
Date materials were received* | |
Other Support Tracker: Any other support provided to clinic outside of what we had already planned All âadditional supportâ beyond what we had originally planned to provide to clinics, such as requests from clinics or additional support that our interactions with the clinics suggested would be helpful for individual clinics. When collected: At the IST meeting or during each clinic check-in | Topic Planned / Content |
Led by which team members | |
Attended by which clinic staff | |
Summary of discussion | |
Comments | |
Consultations outside of IST | |
Next steps / action items | |
Date of support received | |
Led by which team members | |
Clinic participants involved | |
Comments | |
Clinic Update Tracker:* Clinic overview used for discussion during the weekly IST meetings Note: This replaced the Implementation Timeline and Monthly Reports When collected: Completed weekly for each clinic by the practice coach and EHR trainer prior to IST meetings and updated during weekly IST meetings | Date of Check-In |
Overview of clinic | |
Clinic step/progress | |
On track | |
Successes | |
Challenges | |
Clinic goals | |
Action items | |
Questions from IST | |
Next Agenda/Date | |
Notes for Next Meeting | |
Implementation Timeline:** Iterative birdâs-eye planning tool to support each of the clinics throughout the intervention When collected: Sometimes pre-populated by IST members in advance of IST meeting but usually updated at each IST meeting (1x/week) | Step |
Date | |
Type of clinic meeting | |
Topic | |
Content/Planned Agenda | |
Led by which team members | |
Monthly Reports:** Overview of the clinicâs progress through Steps 1â5, and what they requested of the IST When collected: Summary was created after monthly activities were complete and presented to the IST and sent to all clinics the first week of the following month | Date |
Clinic name | |
Progress made on each step | |
Requested information from each clinic |