Reach | Proportion of ORCI providers and Champions who complete dedicated training | Direct observation |
Proportion of stakeholders who agree with the importance of guideline-based practice | Questionnaire | |
Effectiveness | Assessment of whether each intervention component modified its targeted barrier(s) | Mixed Methods |
Proportion of patients who complete guideline-concordant treatment | Clinical chart review | |
Cure rates for curable cancers | Clinical chart review | |
Survival prolongation for non-curable cancers | Clinical chart review | |
Patient-reported palliative benefit and quality of life associated with treatment | Questionnaire | |
Resource utilization as calculated by benefits per cost | Cost-effectiveness analysis | |
Adoption | Proportion of patients with a completed DST in chart | Clinical chart review |
Assignment of one consultant per patient responsible for treatment decisions | Clinical chart review | |
Proportion of patients with a guideline-concordant treatment plan documented | Clinical chart review | |
Rates of consultant, resident, and nurse participation in team rounds | Direct observation | |
Implementation | Adequacy of staff, funding, and materials to complete implementation strategy | Direct observation |
Maintenance | Self-reported ability of Implementation Champions to promote guideline-based practice on an ongoing basis | Questionnaire |
Serial measurement of the “Effectiveness” and “Adoption” outcomes | Mixed Methods |