Table 3.

Measures assessed, tool used for measurement, source of assessment, time assessed and relation to RE-AIM.

Measures	Tool	Source	Collection Timepoint	RE-AIM Component
Effectiveness: Patient Quality of Life	Palliative Outcomes Scale version 2 (POSv2) [29] 12-item survey that measures quality of life in five dimensions: 1) physical; 2) emotional; 3) psychological; 4) spiritual needs, and 5) provision of information and support. Items scored on a 5-point Likert Scale (0 = not at all, 4 = overwhelmingly) based on symptom/need in the past week. Overall profile score is calculated by summing responses to the 10 questions (range 0–40). Time to complete: 5–7 min	NH patient or family caregiver	Baseline Follow-up	Effect
Acceptability: Encounter Satisfaction	Consultation Satisfaction Questionnaire (CSQ) [52] 18-item patient/caregiver-report instrument that measures communication and satisfaction of a consult in four domains 1) general satisfaction, 2) professional care, 3) depth of relationship, 4) perceived length of consultation (scale format: 5-point Likert, strongly agree to strongly disagree). Time to complete: 3–5 min	NH patient or family caregiver	Follow-up	Adoption
Acceptability: Fidelity to the intervention and adaptations	Evaluation of protocolized intervention through direct NP observation or an audio recording of a random 20 % sample of PPC-PAC encounter using a standardized tool.	Structured observation, monthly NP meetings	Ongoing	Implementation
Acceptability: Adherence to Recommendations	Adherence protocol Recommendation: completed, partially completed, not competed, N/A, notes) Time to complete: < 30 min	Medical record review and/or phone interview with NH patient/family caregiver	Follow-up	Adoption
Demographics /Covariates	Age Sex Race (White, Black or African American, Asian, Other) Ethnicity (Hispanic or Latino, Not Hispanic or Latino, Unknown/Not Reported) Advanced Serious Illness Diagnoses Palliative Care Indication Nursing Home Decision making capacity If surrogate/legally authorized representative, relationship	Medical record review	Baseline	Reach
Feasibility	Number of eligible patients at each site per number of admissions; contact rate; enrollment rate; intervention visit completion rates; follow-up data collection rates at 14–21 days; missing data rates; and percentage of completed assessment of primary and secondary outcome measures	Study sites, study database	Ongoing	Reach