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Table 5 Expected resources and benefits to be measured for CTI spread and sustainment

From: Comparing two implementation strategies for implementing and sustaining a case management practice serving homeless-experienced veterans: a protocol for a type 3 hybrid cluster-randomized trial

Expected resources (costs)

Expected benefits

Spread/Sustainment costs

Care delivery costs

Cost offsets and non-financial benefits

• Fixed: Implementation team providing 6-week CTI training, aftercare staff and VA aftercare liaison receiving a 6-week CTI training, Community of Practice webinars, toolkit maintenance, and quarterly CTI booster sessions

• Variable: Implementation team and aftercare staff time spent giving/receiving case consultation and EFa

• Variable: Aftercare staff time spent providing CTIb; VA provider time associated with increased outpatient mental health, SUD, medical, and vocational service use

• Cost offset: decreased use of VA residential housing services; decreased hospitalizations

• Non-financial benefits: HEVs’ housing stability; HEVs’ receipt of needed mental health, SUD, medical and vocational services; improved HEVs’ care experiences; improved case managers’ experiences providing care

  1. aOnly applies to aftercare sites receiving enhanced REP to support CTI implementation and sustainment
  2. bIf there are additional costs associated with using CTI and/or the policy partners were to stop paying for this staff
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Implementation Science

ISSN: 1748-5908