Table 1.

Assessing PRISM domains to understand context for implementation

PRISM domain	What we are assessing	Data collection technique
Organizational perspective	▪ Current transition process ▪ How TNP fits in the broader organization ▪ Contextual factors that may impede or enhance TNP implementation	▪ Process mapping interviews ▪ Key informant interviews ▪ Adapted ethnography ▪ Brainwriting activity ▪ VA all employee survey, PACT survey, Pi2 index, inpatient data (IPEC) ▪ Implementation readiness survey
Patient perspective	▪ Current transition process ▪ Satisfaction with transition process ▪ Receptiveness to TN role	▪ Veteran interviews ▪ Adapted mini ethnography
External environment	▪ VA regulations ▪ Existing VA infrastructure (CPRS) ▪ Political climate and funding	▪ Key informant interviews ▪ Brainwriting activity
Implementation and sustainability infrastructure	▪ Existing processes and systems ▪ Current transition process ▪ Existing relationships and collaboration ▪ Plan for sustainability	▪ National level VA quantitative data ▪ Key informant interviews
Organizational characteristics	▪ Management support ▪ Shared goals and cooperation ▪ Inter-facility communication	▪ National level VA quantitative data ▪ Process mapping ▪ Brainwriting ▪ Key informant interviews
Patient characteristics	▪ Demographics ▪ Rural veteran readmission dates	▪ Key informant ▪ Brainwriting ▪ Veteran interviews ▪ Quantitative data on 30-day readmissions