Table 2 RE-AIM process and outcome measures
RE-AIM domain | Measure | Unit of analysis |
|---|---|---|
Reach | • Proportions of nonwhite Veterans with LST templates are similar to the proportion of white, non-Hispanic Veterans with LST templates | • HBPC program |
• Proportions of nonwhite Veterans with SAPOs are similar to the proportion of white, non-Hispanic Veterans with SAPOs | • CNH program | |
Effectiveness | Advance Care Plan (VA LST template or SAPO) | Â |
• % Veterans with LST template completed | • HBPC program | |
• % Veterans with completed SAPO | • CNH program | |
Concordance between documented preferences and care received by Veteran at end-of-life | Â | |
• % Decedents w/comfort goal with hospice in the last 90 days of life | • Veteran | |
• % Decedents w/comfort goal without ICU admission in the last 90 days of life | • Veteran | |
Implementation | • Proportion of HBPC programs that achieve >80% LST completion rates by the end of the implementation phase | • HBPC program |
• Proportion of VA CNH programs that achieve >80% of SAPO/LST medical order rates by the end of the implementation phase | • CNH program | |
Maintenance | • Proportion of HBPC programs that maintain ≥ 80% of patients with LST documentation at the end of 1-year sustainability phase | • HBPC program |
• Proportion of VA CNH programs that maintain ≥ 80% of patients with SAPO/medical order documentation at the end of 1-year sustainability phase | • CNH program |