Table 2 Practice Facilitation Highlights and Obstacles
PBRN | Site # | Highlights | Obstacles |
|---|---|---|---|
MAPPR | 1 | Introduced the concept of SDM; provided basic asthma education to staff | Unable to adopt SDM due to competing priorities |
2 | Transitioned from group shared medical appointments to individualized SDM; evolved to become a self-sufficient team | Resistant to change at first | |
3 | Eagerly engaged early on; willing to commit to team approach for SDM care | Provider, staff, and administrative turnover | |
NCnet | 4 | Completed everything asked and more; developed video to promote SDM for patients | Not all providers participated; long distance for PF to travel to practice |
5 | All providers at 5 locations within group practice engaged; tech-savvy, modified SDM tools for their website | All 5 locations wanted to receive the intervention simultaneously; PF unable to visit all locations | |
6 | Provided basic asthma education to staff | Long distance for PF to travel to practice; provider and staff turnover | |
PCRC | 7 | PF process built relationships for future research opportunities; staff excited to take on new roles | Difficult to find suitable meeting time for providers and staff together; provider champion had competing priorities for time |
8 | Enthusiastic team interested in new roles; staff growth; became more comfortable with SDM | Difficult to reach staff by phone and email; long distance for PF to travel to practice | |
E-CARE | 9 | Introduced different length visits to accommodate more SDM opportunities | Provider motivation; health coaching was a new concept at the practice; few referrals initially |
10 | Developed reminder system to engage providers | Provider and staff turnover |