Table 1.

Applying the RE-AIM implementation framework for equity to the virtual equity hub.³⁰

Implementation science: pragmatic questions30	Designing for cancer equity: recommended guidelines and metrics
Reach: Who? Who did you hope would benefit vs. who has participated?	Prioritize populations experiencing barriers to cancer care and clinical trials, their clinicians, and care settings - Track representation of target populations - Develop cross-sector partnerships outside of healthcare
Effectiveness: What? What are most important benefits for patients, clinicians, healthcare systems?	Patients - Assess social determinants of health and link to health outcomes: quality of life, survival - Track rates of specialty consultation and guideline concordant care - Assess satisfaction with care, perceived discrimination Clinicians: measure self-efficacy, knowledge, implicit bias System/policy: track impact on policies, funded collaborations, barriers to insurance coverage and trial accrual
Adoption: Where? Where was the intervention applied and who applied it?	Assess number and source of referrals by role and care setting (proportion of clinicians who participate in tumor board or refer patients)
Intervention Strategies: How? How was the intervention delivered and adapted? What intervention strategies might worsen disparities? Examine context with attention to structural discrimination	Conduct assessments of needs and strengths at safety net hospitals, community affiliates and mental health agencies Identify champions from oncology and mental health teams in community settings serving marginalized populations Adapt culturally tailored, pragmatic models in real-world settings, co-design adaptations with input from academic and community partners Assess social determinants and mental health comorbidities, engage person-centered teams including navigation and psychosocial oncology to address barriers to care and streamline referrals, measure structural discrimination (eg, neighborhood deprivation index, Everyday Discrimination Scale)
Maintenance: When? Adaptation for sustainability What resources are available? How integrated into current roles?	Assess strength of academic-community partnerships throughout collaboration and institutional support - Assess impact on funding - Assess strength of partnership using validated scales Track time spent and expertise needed to sustain and grow model