Table 4 Determining practice implementation success using RE-AIM
RE-AIM element | Description of elementa | How assessed in this study (per practice) |
|---|---|---|
Reach | The absolute number, proportion, and representativeness of individuals participating in an initiative | Number of patients enrolled per FTE care manager |
Effectiveness | The impact of an intervention on important outcomes, including potential negative effects, quality of life, and economic outcomes | Improvement in clinical values for patients in CM |
Adoption | The absolute number, proportion, and representativeness of settings and intervention agents who are willing to initiate a program | Distribution of providers referring to CM |
Implementation | At the setting level, implementation refers to the intervention agents’ fidelity to the various elements of an intervention’s protocol. This includes consistency of delivery as intended and the time and cost of the intervention | Rating given from review of interview data regarding (1) knowing how to use the program, (2) reported use, (3) meaning and value, and (4) enthusiasm and support |
Maintenance | The extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. Maintenance in the RE-AIM framework also has referents at the individual level. At the individual level, maintenance has been defined as the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact | Patient follow-up completion rates |