Table 1.
Program outcomes and measures
| Data element | Source | Feedback reports | Process evaluation | Project(s) |
|---|---|---|---|---|
| Data from life-sustaining treatments (LST) template | ||||
| Veteran newly admitted to CLC or HBPCa | CDW Inpatient | Yes | No | 1,2,3 |
| LST template completed in 7 daysa in CLC or by the second visit in HBPC | CDW Health Factors | Yes | No | 1,2,3 |
| Proportion veterans endorsing full LSTb | CDW Health Factors | Yes | Yes | 1,3 |
| Proportion veterans endorsing other than full LSTb | CDW Health Factors | Yes | Yes | 1,3 |
| Proportion veterans expressing understanding of medical factsb | CDW Health Factors | Yes | Yes | 1,3 |
| PROMISE Center Data | ||||
| Q18 from Bereaved Family Survey: Overall, how would you rate the care he/she received in the last month of life?a | Bereaved Family Survey | No | Yes | 1,3 |
| Minimum Data Set (MDS) 3.0 Nursing Home Resident Assessment Data | ||||
| Veteran preferences for customary routine and activitiesb | MDS 3.0 Section F | No | Yes | 1 |
| Mood (PHQ-9)b | MDS Section D | No | No | 1,2,3 |
| Behavioral symptomsb | MDS 3.0 Section E | No | No | 1,2,3 |
| Painb | MDS 3.0 Section J | No | No | 1,2,3 |
| Dyspneab | MDS 3.0 Section J | No | No | 1,2,3 |
| Fallsb | MDS 3.0 Section J | No | No | 1,2,3 |
| Medications: antipsychotics, anxiolytics, mood stabilizers, analgesicsb | MDS 3.0 Section N | No | No | 1,2,3 |
| VA administrative data | ||||
| Healthcare utilization variables, hospitalizations, ER visitsb | CDW, VA Decision Support System, Vital Status | Yes | No | 1,2,3 |
| Medications: antipsychotics, anxiolytics, mood stabilizers, analgesicsb | VA Decision Support System | Yes | Yes | 2 |
| Burdensome transitionsb | RHF (incorporating VA and CMS data) | Yes | Yes | 1,2,3 |
| End-of-life quality indicatorsb | BFS, GEC DAC | Yes | Yes | 1,2,3 |
| Leadership and unit culturec | All Employee Survey | No | Yes | 1,2,3 |
| Artifacts of Culture Change tool | ||||
| Leadership and Outcomes domainsc | Artifacts of Culture Change tool | No | Yes | 1,2 |
| Data collected as part of the program | ||||
| ORCA evidence scalesc | ORCA survey | No | Yes | 1,2,3 |
| ORCA context scalesc | ORCA survey | No | Yes | 1,2,3 |
| Barrier assessmentc | CFIR and TDF | No | Yes | 1,2,3 |
| Feedback uptake scalec | Feedback uptake survey | Sent shortly after feedback report sent | Yes | 1,2,3 |
| Action plan completionc | Interviews | No | Yes | 1,2,3 |
Key (how variables are used in analysis):
aPrimary outcome
bSecondary outcome
cCovariate