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Table 1 Overview of optimizing function and independence QUERI (Function QUERI) projects

From: Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol

Overview of projects Group PT STRIDE iHI-FIVES
Outpatient physical therapy Inpatient walking assistance Caregiver (CG) skills training
Context of clinical program
 Relevant clinical service Physical medicine and rehabilitation (PM&R) Inpatient general medicine Caregiver (CG) support program or other service lines that support CGs
 Nature of clinical program tasks Existing task, alternative mode of delivery New task Existing task, alternative mode of delivery
 Team formation Existing team (processes) Existing team (formation) New team (processes) New team (formation) Existing team (processes)
 Program delivery: boundary spanning? No Yes: general medicine, nursing, physical therapy Both (across service lines, within CSP or GRECC)
 Team membership: roles in program delivery • Physicians: referral
• Physical Therapist: initial evaluation, lead sessions
• Physical Therapy Assistant: co-lead sessions
• Physicians: referral
• Registered nurse: coordination, assessment
• Physical therapist: assessment, walking, supervise walks
• Nurse assistant, physical therapy assistant, volunteer: supervise walks
• Physicians: referral
• Social worker: referral and training
• CG support coordinator: training
• Registered nurse: training
• Psychologist: training
 Noted challenges in program delivery to be addressed by CONNECT • Awareness of Group PT outside PM&R
• Clarity of roles
• Established procedures
• Interaction within the PM&R service
• Clarity of roles
• Availability of staff resources
• Communicating relevant clinical information and “prescribed dose” of STRIDE
• Awareness of the CSP and its mission in clinical units
• Clarity of roles, fragmented/duplicative services for CG support across service lines, enhance continuity of caregiver support
Outcomes of interest
 Implementation outcomes Penetration
Fidelity
Provider experience
Penetration
Fidelity
Team processes
Provider experience
Penetration
Fidelity
Team processes
Provider experience
 Patient/service-level outcomes Function
Pain
Wait times
Patient satisfaction
Provider satisfaction
Budget impact
Discharge to SNF
Physical function
Community mobility
HRQoL, sleep, depression
Hospital LOS
Patient satisfaction
Budget impact
Days in community
CG Depressive symptoms
CG Burden
CG Satisfaction with VA care received
Budget impact