WI-INTUIT

The practice will be enrolled.

Independent primary care practices and practices that are within a healthcare system can participate in this quality improvement study. If your primary care practice is in a healthcare system, not all primary care practices in your healthcare system are required to participate.

This quality improvement study enrolls at the practice level. Therefore, all physicians in a primary care practice will participate in the study. However, not all physicians are required to be part of the practice change team. A physician champion for the primary care practice can contribute more to the study by serving on the practice change team. 

1. 5 hours of free practice facilitation to tailor a streamlined quality improvement plan for your practice
2. A curated list of local resources (specialists and community organizations) for your practice to support urinary incontinence (UI) screening and treatment
3. Access to physicians (primary care and urogynecology) with expertise in treating UI
4. Access to an online community of other practices in WI participating in this project
5. Practice stipend of at least $3,000 to thank you for your participation
6. Merit-based Incentive Payment System (MIPS) and/or American Board of Family Medicine (ABFM)/American Board of Internal Medicine (ABIM) maintenance of certification module assistance

After enrolling in the project, half of the practices will be randomly assigned to receive this additional support, so we cannot tell you ahead of time whether your practice will get it.

2 free sessions to personally connect you with specialists & community resources

For the practice overall:

3 project meetings, each lasting 1 hour, during the first 6 months of the project

• Education about screening & treating UI in primary care
• Tailored roadmap for how to screen for and treat UI for your practice
• Connections to local resources (community, specialists) to support treatment
• Data dashboard - see how your practice is doing with the project

For the practice change team: 

The practice change team will consist of 2-5 providers / staff who are project champions

• Two planning meetings (each meeting is less than an hour long)
• 4 video/phone calls (Less than 30 minutes each) in the first 6 months & 3 in next 12 months
• 2 additional 1-hour meetings if practice is in partnership building group
• Practice change team members will receive $25 for completing 2 additional questionnaires 

The project lasts for 6 months. The research team will continue to collect information for another 12 months. Your practice will have access to online project resources for the whole 18 months.

1. Share your feedback through participating in meetings and completing surveys (3 times)
2. Provide automated quarterly reports from your electronic health record (EHR)
3. Distribute patient surveys before and during the project (4 weeks total)
4. Post flyers in clinic bathrooms and common areas

1. With support, your practice will implement UI-Assist (Ask, Advise, Assist) to screen and treat patients with urinary incontinence (UI).
2. Your practice will select the best strategies for your practice to implement from the UI-Assist menu.
3. Your practice will be randomly allocated to an implementation strategy:

• Strategy 1 - Our implementation team will support your practice through facilitation to promote adaptability. These practices will receive $3,000 for their time and participation.
  

• Strategy 2 – Practices allocated to this strategy will receive the same implementation components as practices in strategy 1, but our implementation team will additionally help your practice engage with community resources and build coalitions. Practices allocated to this strategy will receive an additional stipend to help facilitate additional partnerships