Table 2 Process and outcome metrics
Process/outcome metric | Definition |
|---|---|
Reach | Number and % of veterans receiving CC per facility |
Adoption | Number and % of ED providers who identify patients as appropriate for CC per facility |
Implementation fidelity | Content of CC |
Date sent and alignment with schedule | |
Responses to veteran replies consistent with protocol | |
Maintenance | To be determined in the planning phase |
Effectiveness: suicide-related behavior | Self-directed violence rate |
Injury rate | |
Fatality rate | |
Effectiveness: service utilization | Outpatient mental health encounters |
Outpatient health/other encounters | |
Emergency services for mental health | |
Inpatient services for mental health | |
Emergency services for health/other | |
Effectiveness: mental health SAIL metrics | PMED1 (% of patients with a mental health diagnosis who have a mental health evaluation and management encounter) |
HRF2 (% of patients with a new or reactivated high-risk flag (HRF) who received at least four mental health visits within 30 days of flag initiation) | |
Cost | Cost of implementing CC |
Cost of providing CC | |
Downstream healthcare utilization costs | |
Staff perspective | Key informant interviews focused on staff perspective of CC |
Veteran perspective | Key informant interviews focused on veteran perspective of CC |