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Table 2 Function QUERI measures and data sources

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

Data element Data sources Projects
VA admin Survey Interview Field notes  
Team characteristics
 Team size: number of members of team for clinical program delivery    X   1, 2, 3
 Team composition: diversity of members within team to accomplish tasks (e.g., expertise and skill set) and boundary spanning among team memberships   X X   1, 2, 3
 Role clarity: extent to which roles among team members are clearly defined   X X   1, 2, 3
 Cohesion: commitment in working as a collective unit to accomplish the work of the team   X X   1, 2, 3
Team processes      
 Communication: open communication and participation in handling conflict and solving problems as a collective unit   X X   1, 2, 3
 Communication structure/channels: standardization and centralization of conveying key information within team and externally    X   1, 2, 3
 Goal and means clarity: collective understanding of the work of the team and its goals, and agreement on how their goals are reached   X X   1, 2, 3
 Decision-making: manner in which information is exchanged and decisions are made within teams (e.g., member involvement, techniques of decision-making)   X X   1, 2, 3
 Task interdependence: degree of dependence of tasks between \members within a team (team- and individual-level measures)    X   1, 2, 3
 Satisfaction/experience: employee satisfaction with the outcomes of the team’s work, to date.   X X   1, 2, 3
Clinical program/task characteristics—Group PT, STRIDE, and HI-FIVES
 Task uncertainty: predictability in the work processes; presence of standardized processes and protocols for different clinical scenarios    X   1, 2, 3
 Program interdependence: degree of dependence of tasks on other clinical units   X X   1, 2, 3
 Task interdependence: degree of dependence of tasks between team members   X X   1, 2, 3
Environmental context
 Facility complexity: operational complexity of VAMC (e.g., patients served, case-mix, and intensive care unit level) VA Planning     1, 2, 3
 Climate: share perception on the degree to which clinical program is supported, rewarded, and expected within VAMC   X X   1, 2, 3
 Leadership, clinical champion    X   
 Policies, practices, and procedures: organizational effort to support innovative practices within VAMC (e.g., performance monitoring)    X   1, 2, 3
 Historical performance: prior innovation history, organizational performance on related clinical metrics SAIL, IPEC, AES   X   1, 2, 3
Implementation outcomes
 Penetration: reach (referrals, initiation rate), integration of program within VAMC’s relevant clinical units Chart review
VA visits, claims
X X X 1, 2, 3
 Fidelity: degree to which program is implemented
 • Adherence to protocol
 • Participant engagement
Project records
Chart review
VA visits, claims
  X X 1, 2, 3
 Cost
 • Total implementation cost
 • Total program delivery cost
 • Resource utilization costs
Project records
VHA salary
  X X 2, 3
Clinical and service-level outcomes (sample measures obtained at the patient-level)
 Program service use: referrals, scheduled appointments, participation, attendance, distance walked, Chart review
VA visits, claims
    
 Function: function and disability instrument, WOMAC pain and physical function scale, Zarit subjective burden scale, Center for Epidemiology Studies Depression Scale Chart review X    1, 2, 3
 Independence: days in home/community, discharge to nursing home, skilled nursing, wait times      2, 3
 Quality of life: health-related quality of life   X    
 Resource utilization: outpatient visits, hospitalization, ER, discharge to nursing home, skilled nursing, wait times Chart review
VA visits, claims
    1, 2, 3
 Patient satisfaction: CAHPS survey items on satisfaction   X X   1, 2, 3
  1. Notes: Project 1: Group PT (single site, 1 year); project 2: STRIDE (eight sites, multi-year); project 3: iHI-FIVES (8 sites, multi-year)