Hi Elizabeth,
You may have already made changes to your program evaluation section, but if not here are some ideas:
I think the outcome you are looking for is consistent q3mth monitoring of labs and appropriate clinic FU for patients on DMARDs right?
The outcome indicator you have listed now seems like a secondary outcome that might happen if you meet the outcome #1. I think process indicators could be like my protocol - proportion of staff completed training etc.
For the mixed method evaluation - since providers/clinic staff are your target, would it make sense to target them in the qualitative analysis rather than the patients in order to keep it simple? I suppose patients could be a secondary study.
See you tomorrow!
Emily