Table 2

MOHR Implementation Strategy Developed by Practices and Time to Complete Additional Tasks

			Minutes per Visit Beyond Usual Care, by Task Completed
Site	Implementation Strategy	Target Population	Query Visit Records	Mail Invitation	Match Summary to Visit	Counsel Patients	Follow-up	Other Task s	Total
Patients mailed an invitation to complete MOHR on the Web before an office visit
1^a	Patients mailed invitation to complete MOHR on the Web 2 weeks before appointment	Scheduled wellness and diabetes visits	2	8^a	3	11	2	–	25
3^b	Patients mailed invitation to complete MOHR on the Web 2 weeks before appointment with in office help on a kiosk for non-completers	30 scheduled chronic or wellness visits per week (randomly selected)	2	2	2	5	–	10 (In-office help at kiosk)	20
4	Patients mailed invitation to complete MOHR on the Web 2 weeks before appointment	Any appointment scheduled 3 weeks in advance	2.5^a	2^a	5	10	5	–	27
5	Patients mailed invitation to complete MOHR on the Web 2 weeks before appointment	Scheduled chronic and wellness visits	1^a	8^a	5	15	–	8 (review summary)	29
Patients called and completed MOHR on phone before an office visit
3^c	Health system call center called patients and asked MOHR questions over phone before a visit and entered patient responses on the Web site	All chronic and wellness visits	2	–	5	10	–	10 (ask MOHR by phone)	19
			Identify Eligible Patients	Complete MOHR	Match Summary to Visit	Counsel Patients	Follow-up	Other Task s	Total

Patients approached in the office to complete MOHR on the Web
6	Academic staff approached patients, asked MOHR questions in waiting room, and entered responses on tablet	Chronic and wellness visits (if consented)	1^a	15 ^a	–	–	–	–	16
7	Academic staff approached patients and helped them complete MOHR on a kiosk in the waiting room	Chronic and wellness visits	3.5^a	16^a	2	5	–	–	26.5
8^d	Practice rooming staff approached patients, asked MOHR questions in waiting room, and entered responses on tablet	Chronic visits	2	10	2	17	–	–	31
8^e	Academic staff approached patients, asked MOHR questions in waiting room, and entered responses on tablet	Chronic and wellness visits	2^a	10^a	2	17	–	–	31
9^f	Medical assistant approached patients, asked MOHR questions in waiting room, and entered responses on tablet	All patient visits Wellness visits	1	12	3	14	–	–	30
9^g	Academic staff approached patients, asked MOHR questions in waiting room, and entered responses on tablet	Chronic and wellness visits	1^a	8^a	3	14	–	–	26
2	Front desk staff approached patient, patient completed paper version of MOHR in the waiting room; when needed the clinician helped the patient answer MOHR questions	Chronic and wellness visits		10	5	9	5	–	28

↵a Task completed by academic staff.
↵b Study weeks 4–16, when site 3 mailed MOHR invitations to patients.
↵c Study weeks 14–19, when site 3 phoned patients to complete MOHR.
↵d Study weeks 1–17, when site 8 practice staff administered MOHR but only for chronic care visits.
↵e Study weeks 18–30, when site 8 academic team staff administered MOHR for wellness and chronic care visits.
↵f Study weeks 1–13, when site 9 practice staff administered MOHR to all patients (weeks 1–3) and then only chronic and wellness visits (weeks 4–13).
↵g Study weeks 14–33, when site 9 academic team staff administered MOHR for wellness and chronic care visits.