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Table 1 Program outcomes and measures

From: Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol

Data element Source Feedback reports Process evaluation Project(s)
Data from life-sustaining treatments (LST) template
 Veteran newly admitted to CLC or HBPCa CDW Inpatient Yes No 1,2,3
 LST template completed in 7 daysa in CLC or by the second visit in HBPC CDW Health Factors Yes No 1,2,3
 Proportion veterans endorsing full LSTb CDW Health Factors Yes Yes 1,3
 Proportion veterans endorsing other than full LSTb CDW Health Factors Yes Yes 1,3
 Proportion veterans expressing understanding of medical factsb CDW Health Factors Yes Yes 1,3
PROMISE Center Data
 Q18 from Bereaved Family Survey: Overall, how would you rate the care he/she received in the last month of life?a Bereaved Family Survey No Yes 1,3
Minimum Data Set (MDS) 3.0 Nursing Home Resident Assessment Data
 Veteran preferences for customary routine and activitiesb MDS 3.0 Section F No Yes 1
 Mood (PHQ-9)b MDS Section D No No 1,2,3
 Behavioral symptomsb MDS 3.0 Section E No No 1,2,3
 Painb MDS 3.0 Section J No No 1,2,3
 Dyspneab MDS 3.0 Section J No No 1,2,3
 Fallsb MDS 3.0 Section J No No 1,2,3
 Medications: antipsychotics, anxiolytics, mood stabilizers, analgesicsb MDS 3.0 Section N No No 1,2,3
VA administrative data
 Healthcare utilization variables, hospitalizations, ER visitsb CDW, VA Decision Support System, Vital Status Yes No 1,2,3
 Medications: antipsychotics, anxiolytics, mood stabilizers, analgesicsb VA Decision Support System Yes Yes 2
 Burdensome transitionsb RHF (incorporating VA and CMS data) Yes Yes 1,2,3
 End-of-life quality indicatorsb BFS, GEC DAC Yes Yes 1,2,3
 Leadership and unit culturec All Employee Survey No Yes 1,2,3
Artifacts of Culture Change tool
 Leadership and Outcomes domainsc Artifacts of Culture Change tool No Yes 1,2
Data collected as part of the program
 ORCA evidence scalesc ORCA survey No Yes 1,2,3
 ORCA context scalesc ORCA survey No Yes 1,2,3
 Barrier assessmentc CFIR and TDF No Yes 1,2,3
 Feedback uptake scalec Feedback uptake survey Sent shortly after feedback report sent Yes 1,2,3
 Action plan completionc Interviews No Yes 1,2,3
  1. Key (how variables are used in analysis):
  2. aPrimary outcome
  3. bSecondary outcome
  4. cCovariate