When a Whole Practice Model Is the Intervention: Developing Fidelity Evaluation Components Using Program Theory-Driven Science for an Integrative Medicine Primary Care Clinic

Table 1

Initial business plan components and final practice theory components.

Initial business plan components	Practice theory components
Philosophies and principles of IM and evidence-based primary care.	Integrated care (comprehensive and coordinated) inclusive of complementary medicine (CM) interventions.
	Prevention and health promotion services together with treatment and disease management.
	Use of less invasive and natural treatments and interventions.
	Whole person care.
	Healing orientation to support the individual’s innate healing capacity.
	Practitioners exemplify IM principles and commit to self-exploration and self-development.
Patient-centered care experienced by patients as a true health partnership.; Use of a Health Partnership Acknowledgement agreement.	Patient-centered partnership (practitioner communication style, mutual decision making, empathy, patient trust, adequate visit time, and Health Partnership Acknowledgement form).
Services not typically provided in primary care (educational classes/groups, group visits).	Services not typically provided in primary care (educational classes and groups, group visits).
A team care model with health coaches.	Integrative team care model with health coaches.
Hybrid financing model.	Hybrid financing model.
Enhanced access to care.	Enhanced access to care (shorter wait time to appointments, front desk helpfulness).