Table 1 Assessing PRISM domains to understand context for implementation
PRISM domain | What we are assessing | Data collection technique |
|---|---|---|
Organizational perspective | ▪ Current transition process ▪ How TNP fits in the broader organization ▪ Contextual factors that may impede or enhance TNP implementation | ▪ Process mapping interviews ▪ Key informant interviews ▪ Adapted ethnography ▪ Brainwriting activity ▪ VA all employee survey, PACT survey, Pi2 index, inpatient data (IPEC) ▪ Implementation readiness survey |
Patient perspective | ▪ Current transition process ▪ Satisfaction with transition process ▪ Receptiveness to TN role | ▪ Veteran interviews ▪ Adapted mini ethnography |
External environment | ▪ VA regulations ▪ Existing VA infrastructure (CPRS) ▪ Political climate and funding | ▪ Key informant interviews ▪ Brainwriting activity |
Implementation and sustainability infrastructure | ▪ Existing processes and systems ▪ Current transition process ▪ Existing relationships and collaboration ▪ Plan for sustainability | ▪ National level VA quantitative data ▪ Key informant interviews |
Organizational characteristics | ▪ Management support ▪ Shared goals and cooperation ▪ Inter-facility communication | ▪ National level VA quantitative data ▪ Process mapping ▪ Brainwriting ▪ Key informant interviews |
Patient characteristics | ▪ Demographics ▪ Rural veteran readmission dates | ▪ Key informant ▪ Brainwriting ▪ Veteran interviews ▪ Quantitative data on 30-day readmissions |