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Table 2 Key outcome indicators for the I-TREC evaluation

From: The Integrated Tracking, Referral, and Electronic Decision Support, and Care Coordination (I-TREC) program: scalable strategies for the management of hypertension and diabetes within the government healthcare system of India

RE-AIM domain

Key indicators

Reach

Proportion of adults ages 30 and older in the community screened for hypertension by a government healthcare provider

Proportion of adults ages 30 and older in the community screened for diabetes by a government healthcare provider

Number of patients seeking care for hypertension and diabetes at a government health facility who have an eCRF

Effectiveness

Reduction in mean blood pressure in patients receiving care in program facilities

Reduction in mean blood glucose in patients receiving care in program facilities

Proportion who achieve blood pressure and blood glucose control among patients receiving care in program facilities

Proportion who achieve blood glucose control among patients receiving care in program facilities

Reduction in mean blood pressure in the community

Reduction in mean blood glucose in the community

Proportion of hypertension patients who achieve blood pressure control in the community

Proportion of diabetes patients who achieve blood glucose control in the community

Adoption

Proportion of healthcare providers (by type) who log into the NCD portal

Proportion of clinicians who fully or partially accept CDSS prompts

Proportion of healthcare providers (by type) who report satisfaction with the eCRF+CDSS

Implementation

Percentage of hypertension patients who received guideline-based care through the eCRF+CDSS (of all registered patients with hypertension)

Percentage of diabetes patients who received guideline-based care through the eCRF+CDSS (of all registered patients with diabetes)

Percentage of hypertension patients who made repeat visits to health facility

Percentage of diabetes patients who made repeat visits to health facility

Percentage of “up-referral” cases who attend appointments

Percentage of patients who were seen at a higher level facility that returned to the Sub-Centre for ongoing management (“closing the referral loop” and ensuring continuity of care)

Percentage of patients tracked with multiple visits over the course of the program

Mean time for data upload from each level of facility to central server

Maintenance

Views of program sustainability and barriers to sustaining and disseminating the program (qualitative)