Table 3.

Summary of challenges to the measurement of RE-AIM within three NCI-Designated Cancer Centers funded through the Cancer Center Cessation Initiative.

RE-AIM dimension	Challenges to measurement
Reach	Measurement relies on consistent documentation of patient smoking status and engagement in tobacco treatment services.
Effectiveness	Follow-up measures (at 6-months post engagement) are dependent upon patient availability and program staff and resources to maintain follow-up contacts.
Adoption	Measuring provider-level adoption is dependent upon program and organizational resources to track and obtain provider-specific reports from the EHR.
Implementation	Measuring the implementation of key program components is dependent on program resources to document and produce reports using the EHR.
Maintenance	Measuring maintenance and sustainability is dependent on the program's ability to measure the other RE-AIM dimensions. Reporting on each of these measures over time can help Cancer Centers understand the long term sustainability of their program.