Table 1 RE-AIM dimensions and example concepts, source material, and measures
REAIM dimension and concepts | Source material | Instrument or measurement |
|---|---|---|
Reach | ||
Inclusion/exclusion criteria | Team interviews; metrics | # screened; % approached; % excluded (clinical; geographic; others) |
Individuals who participate, based on a denominator | Collected by the local team; denominator (local team definition) | % served |
Characteristics of HIH patients | Office of Geriatrics and Extended Care Data Analysis Center (GECDAC) data | Age, sex, race/ethnicity, marital status, priority status, admission diagnosis, complexity (e.g., comorbidities, Jen Frailty Index, hierarchical condition categories, Nosos score, high needs high risk, prior utilization) |
Patient recruitment | Team interviews | Steps utilized by teams to recruit/reach patients |
Effectiveness | ||
Overall effect of HIH | GECDAC data; HIH/propensity score-matched comparison | Outcomes: mortality, 30/90 day readmission, length of stay, hospital/HIH cost |
Characteristics of HIH patients | GECDAC data | Same as used for reach |
Variations in effectiveness | Team interviews (exploratory) | Identify barriers, facilitators, potential reasons for variations in effectiveness |
Veteran and caregiver satisfaction; caregiver burden | Veterans and caregiver interviews | How satisfied are you with (your/your loved one’s) HH care? 5-point Likert |
Adoption | ||
Level of staff adoption | Stakeholder/team interview | HiH staff adoption of the HiH model, awareness, and receptivity referring staff are to the HiH program |
Patient drop out | Stakeholder/team interview | % patients dropped out of HiH |
Vendor/contractor participation | Team interviews | # of vendors; types of vendors; issues/challenges, encountered with vendors |
Implementation | ||
Adherence to program guidelines | Team interviews; metrics from programs | Summary score 5 items (items on a 0–2 scale): staff training and competencies; clinical documentation; communication; clinical standards; quality indicators |
Adaptations made | Team interviews | Identify adaptations made, reasons why |
Start-up cost of the program | Team interviews/GECDAC data follow-up | Administrative costs to setup positions/contracts; startup equipment cost/training cost |
Maintenance | ||
Program growth | Team interviews, GECDAC data | Changes in inclusion/exclusion criteria; # of Veterans/ month; # visits/month |
Integration into routine practices and policies | Team and leadership interviews; local policy documents | Were any electronic medical record patches/databases created for the program? Any positions permanently allocated to the program? |