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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