Hi Steve, This is coming along well. As others have provided input on the first question, I will limit my comments to the second part of the assignment. I think its great that you are considering the use of semi-structured interviews at several points in the project, are there opportunities to use more quantitative survey methods at these time points as well? For example, to help identify barriers you could administer a survey to most individuals in the department to ask about a broad range of barriers you anticipate based on what you have learned in your research and in the planning stages, you could then have one focus group with medical providers and another with support staff to investigate the 'top hit' barriers further and illicit input on potential plans to address those barriers. This allows the focus groups to be more informative and less likely to get pulled off track by an outlier.