Outcomes | Measure | Source |
---|---|---|
Model reach | Representativeness of patient population to general population | Recruitment data (# enrolling/# invited); SES and demographics compared to overall population; compare across clinical settings and institutions |
Effectiveness | see Domains of Measures and Outcomes Table | |
Model adoption | Representativeness of clinics agreeing to participate | Recruitment data on clinic settings and characteristics as compared to general clinic settings at the institution; % of providers opting out and their characteristics compared to overall provider population in the clinics; formative evaluations on reasons for opting out |
Implementation integrity | % time intervention used as intended | Formative evaluations, study coordinator tracking patient through steps in the model (ex. MeTree log-in vs completion), adaptations to the model, patient and provider FAQs derived during implementation, % time providers review CDS output |
Implementation exposure | % time intervention used | Formative evaluations, study coordinator tracking patient through steps of the model |
Maintenance and sustainability | Cost to implement | • EHR administrative data for utilization |
Cost/effectiveness | • Formative evaluations (clinic resource needs, successful elements for each setting, factors association with long-term adoption or not), | |
• % adoption at study end | ||
• costs/disease prevented, early stage detected, or visits avoided |