Table 2 Previously published teledermatology RE-AIM-based implementation outcomes, adapted from Peracca et al. 2019 [13]
From: Implementation evaluation of a teledermatology virtual clinic at an academic medical center
RE-AIM domain | Domain definition | Outcomes assessed in the current study |
|---|---|---|
Patient and Provider Reacha | Degree to which patients and providers are impacted | - Number of teledermatology patients by various characteristics |
- Percent of dermatology encounters | ||
- Number of completed teledermatology consults | ||
- Number of teledermatology consults | ||
- Number of providers trained | ||
Effectiveness and Process Measures | Ability of program to change patient-centric outcomes with quality of care | - Improvements in patient health outcomes |
- Diagnostic and management concordance | ||
- Consult/appointment completion times/wait times and no-shows | ||
- Dermatologic skill level of PCPs | ||
- Quality of life | ||
- Costs | ||
- Patient/provider satisfaction | ||
Adoption | Degree to which program is used by end-users | - Stages of Implementation Completion |
- Understanding link between institutional readiness for change and adoption | ||
- Percent of PCPs and dermatologists using teledermatology | ||
- Extent to which clinics are implementing a program by understanding administrative landscape, staffing, and training needs | ||
Implementation | Degree to which program is implemented as planned | - Determination of detailed barriers to and facilitators of implementation |
- Understanding link between individual and institutional readiness for change and successful implementation | ||
- Whether the teledermatology process is aligned with guidelines | ||
- Assess different stakeholder perspectives | ||
Maintenance | Can program be sustained over time? | - Examination of program implementation over time including assessment of long-term funding, collaboration and commitment between leadership, staff, and the community |
- Assessment of program responsivity such as addressing workflow and access to technology | ||
- Assess program results (e.g., change in number of teledermatology consults/encounters over time) | ||
- Identification of training programs to ensure staff involvement and integration, and to address staff attrition |