Table 2.

Implementation outcomes and measures by Study Aim.

	Implementation Outcome	Description	Measure Source	Measurement Schedule
AIM 1	Penetration	Delivery of (i) BI and (ii) RT to those for whom indicated.	CRAFFT+ and provider intervention items in EMR	Ongoing for each encounter; administrative encounter data abstracted monthly
AIM 2	Cost and Cost- Effectiveness	Cost of service delivery; Full implementation costs; ICERs for BI and RT.	SASCAP, clinic records, organizational expenditures, budget	Month 12 (clinic costs); Month 25 (full implementation costs)
AIM 3	Acceptability	Provider attitudes, perceived need, self- competence	Provider surveys; Qualitative Interviews	Repeated each period (∼months 4, 15, and 30)
	Timeliness	Delivery of services on the same day as screening vs. future appointment.	Provider intervention items in EMR	Ongoing for each encounter; administrative encounter data abstracted monthly
	Adherence	Provider adherence to key components of the two SBIRT strategies (e.g., Generalist vs. Specialist)	Provider intervention items in EMR; Qualitative interviews	Complete after each encounter in which a BI is indicated
	Satisfaction	Patient satisfaction with services	Anonymous patient questionnaire	Ongoing voluntary questionnaire for each BI/RT encounter. Data abstracted monthly.
	Sustainability	Endurance of services after removal of support resources	CRAFFT+ and provider intervention items in EMR	Continued ongoing collection of administrative encounter data with monthly abstraction
AIM 4	Feasibility and Acceptability	Incorporation of HIV risk behavior screening into the SBIRT process	Provider surveys; Qualitative interviews	Repeated each period