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Table 2 Data management adaptations by site

From: Using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to study adaptations in lung cancer screening delivery in the Veterans Health Administration: a cohort study

Location

Baseline data tool

Year change occurred

New data tool

Who made the decision to use new tool?

Goal of using new data tool

Modification description

Site A

Microsoft Excel

2021

LungView©

Program directors and navigators

Improve tracking of Veterans longitudinally

Instead of Microsoft Excel, LungView© was used for its ability to communicate with Veteran electronic medical record and improved ease in tracking

Site B

Microsoft Excel

2021

VISN 23 System (National Lung cancer Screening Care Platform Tool 1.0)

Program directors and navigators

To decrease navigator time on data entry

Instead of Microsoft Excel, the National Lung Cancer Screening Care Platform was adopted as it has the capabilities to reduce the time of navigator data entry

Site C

Microsoft Excel

No reported changes

Site D

Microsoft Excel

No reported changes

Site E

Microsoft Excel

No reported changes

Site F

Microsoft Excel

2020

VISN 23 System (National Lung cancer Screening Care Platform Tool 1.0)

Program directors and navigators

Improve tracking of Veterans and screenings

Instead of Microsoft Excel, the National Lung Cancer Screening Care Platform was adopted as it has the capabilities to integrate with the electronic health record and improve collaborations with other care team members

Site G

Microsoft Excel

2020

REDCap System

Program directors and navigators

Improve tracking of Veterans longitudinally

This modification took approximately 3 months in 2020 to implement from Microsoft Excel to the VA REDCap system. The overall purpose of this change was to improve the longitudinal tracking of Veteran data

Site H

Microsoft Excel

No reported changes

Site I

Microsoft Excel

2021

VAPALS-ELCAP Management System

Program directors and navigators

Improve tracking of Veterans and screenings

Modification was introduced during 2021. VAPALS-ELCAP is a software system designed for use in the VA for lung cancer screening. Programming is noted to be adaptable to current needs of navigators

Site J

Microsoft Excel

2021

VISN 23 System and Excel spreadsheet (National Lung cancer Screening Care Platform Tool 1.0)

Program directors and navigators

Improve tracking of Veterans longitudinally

In combination with Microsoft Excel, the National Lung Cancer Screening Care Platform was adopted as it has the capabilities to reduce time of the navigator and allow for better tracking of Veterans and reduce loss of follow-up