Table 1 Evaluation Research Constructs
Model Domain | Constructs Assessed Within Domain | Data Source |
|---|---|---|
Policy Context | Medicaid Expansion Ability to use starter packs Insurance accepted Availability of ADAP (or similar) | Organizational Assessment |
Organizational Structure | Placement within larger institution (e.g., clinic part of a large hospital) Organizational size Degree of independence/authority within the organization | Organizational Assessment |
Patient Characteristics | Demographic characteristics Behavioral health measures | Medical Record Data |
Reconfiguration Capacity (Clinic Readiness) | Leadership vision and engagement Clinic’s current staffing structure, including total number of providers and panel sizes of primary care providers Clinic’s current practice workflows Resources (money, time, staff) for implementing changes (e.g., starter packs, resources for wrap-around services) | Organizational Assessment Cost Assessment Implementer Assessment Document Review |
Absorptive Capacity (Provider Team Readiness) | Team functioning Knowledge of proposed changes Capacity to overcome barriers (insurance) Willingness to change Self-efficacy about implementing changes Beliefs about efficacy of changes Need for training Burnout | Implementer Assessment Document Review |
Information System Readiness | Types of information currently stored in the EHR (collection of contact with patients) Access and privileges of various settings/providers (e.g., ability to share data between testing, care, and pharmacy; read EHR data; ability to input data) Capacity (personnel, skills) to modify system as needed | Organizational Assessment Document Review |
Implementation Strategies | Rapid Start Service Characteristics Implementation of rapid ART start protocols | Medical Record Data Organizational Assessment Implementer Assessment |
Implementation Outcomes | Acceptability (provider) Adoption (provider and clinic system) Appropriateness (provider and clinic system) Feasibility (provider) Fidelity (provider and clinic) Cost (clinic) | Medical Record Data Organizational Assessment Implementer Assessment Cost assessments |
Service Outcomes | Effectiveness and Equity Demographic/patient characteristics by:  • ART among persons in HIV care  • Linkage to HIV care  • Engagement in HIV care  • Retention in HIV care Timeliness  • Time to linkage to HIV care  • Time to ART initiation | Medical Record Data |
Health Outcomes | Viral load suppression  • Time to viral load suppression  • Durable viral load suppression | Medical Record Data |