EHR capacity building

All 20 sites will receive the same EHR intervention, which was developed with input from project partners and participating PCP sites. The EHR intervention involves provision of support generating routine registry reports at each practice that identify patients with uncontrolled diabetes. The study will provide the practice with training on the following competencies: 1) understanding the functionality and potential impact of the registry; 2) generating registry reports for follow-up care; and, 3) identifying patients with uncontrolled diabetes.

In addition, participating PCP staff are trained on the importance of documenting vital signs and other pertinent health data, as well as how to utilize automated appointment reminder texts and letters that can be sent to patients electronically [69]. The study team provides an initial training to clinicians and/or staff members that primarily focuses on using the registry reports. The study team conducts follow-up technical assistance visits at each site every 2 months for up to 1 year after training to review initial training material and assist with troubleshooting the registry reports.