 Evaluation: We developed and applied 1 formative evaluation tools; 2 fine-tuned performance measure tools based on electronic data, and applied in a non-randomized quasi-experimental design untreated control group with pretest and posttest; 3 a web-based survey for primary care clinicians and 4 an innovative implementation cost assessment approach. We also used 5 qualitative information on the process of dissemination , including links to national resources and 6 a randomized design to evaluate long term 18-month cost effectiveness of TIDES. 