Broader community health influences (eg, outbreaks of illnesses)

Communication (connecting with providers outside the practice)

Community resources related to intervention—facilitators during the planning and sustainability phases^*

Educational and networking resources related to IDOCC

Macro-level economic and political environment (eg, financial resources from government)

Change in practice model (eg, to a different type of primary care model)

IT and EMR (experiences or beliefs about IT and EMR)—barrier during implementation^*

Leadership

Micro-level financial resources (within the organization)

Office efficiency (organization and management)—barrier and facilitator during planning and implementation^*

Space (characteristics of location or work and office areas)

Staff mix (availability and involvement of staff)

Time (time available)

Communication between and among staff

Personal and staff functioning as part of a team

Provider attitude toward the IDOCC intervention—barrier during implementation and sustainability phases^*

Roles and responsibilities (clarity and scope of practice)—barrier during planning^*

Awareness and insight of practice about processes needing adjusting

Charting, flow sheets, and template (attitude and experience)—facilitator during implementation^*

Comprehending, complying, and agreeing with recommendations from IDOCC audit

Patient-physician processes (attitude and experience toward these, such as self-management)

PF’s capacity to spread learning from another innovation to the site—facilitator during implementation^*

Reaction of practice to PF’s involvement and advice—facilitator during implementation^*

Reminder system (attitude and experience)

Very few patient-level barriers and no patient-level facilitators were identified