Construct | Rationale for Selection | Sample questions |
---|---|---|
Domain: intervention characteristics | ||
 Intervention source | [Evaluation team] The intervention was ongoing, evaluation team wanted to capture historical information | Can you tell me a bit about the history of transforming the organization to patient-centered care? |
 Evidence strength and quality | [Evaluation team] Collect information on perceptions of evidence regarding PCC | What clinical or research evidence, or literature were you aware of that supported use of an intervention like this? |
 Relative advantage | [Evaluation team] Advantages and goals of transformation and expectations of practice | What is your understanding of the goals of this initiative? How is this different from what you were doing? |
 Adaptability | [Evaluation team] Document adaptations, especially given the broad scope of the transformation | What were challenges you encountered? What adaptations were made to overcome these challenges? |
 Complexity | [Evaluation team] Gather information on perceived complexity of the PCC cultural transformation | How difficult would you say it has been to implement the intervention? |
 Cost | [Evaluation team] Funding available from OPCC&CT and money contributed by facility | What types of funding have you received since becoming a COI to implement PCC innovation(s)? Did your facility incur any additional costs not covered by the funds? |
Domain: outer setting | ||
 Patient needs and resources | [OPCC&CT and evaluation team] Level of patient involvement in the transformation | How are interventions selected? How do patients become engaged? What feedback is collected from them? |
Domain: inner setting | ||
 Implementation climate\culture | [OPCC&CT and evaluation team] Receptivity to the transformation | What was your perception of staff attitudes about the patient-centered care changes? |
 Tension for change | [Evaluation team] Is/was there a perceived need for change present? | What was your perception of the need for change? |
 Relative priority | [OPCC&CT and evaluation team] Level of priority of transformation in the real-world, clinical setting | Compared to other demands in the organization, how much of a priority is PCC? |
 Organizational incentives\rewards | [Evaluation team] Feedback received from OPCC&CT and individual/facility-level | How is feedback provided to staff on progress toward goals? |
 Goals and feedback | [OPCC&CT and evaluation team] Process for selecting and setting facility goals | How are goals communicated to staff? How is progress evaluated? |
 Leadership engagement | [OPCC&CT and evaluation team] Level of leadership involvement and activities contributing to transformation | What level of involvement did leadership have with this initiative? What did they do? |
 Available resources | [OPCC&CT and evaluation team] Resources provided by OPCC&CT and those provided by facility leadership | To what extent are there additional resources available to support these efforts? |
Domain: characteristics of the individual | ||
 Knowledge and beliefs | [OPCC&CT and evaluation team] Impact of messaging about PCC on how it’s defined at the individual-level | What do you think about when you hear the term patient-centered care? What are its key aspects? |
Domain: process | ||
 Planning | [OPCC&CT and evaluation team] Identify process and selection of assembly of local implementation team | Once the decision was made to start this initiative, who was involved in planning? |
 Engaging: staff | [OPCC&CT and evaluation team] How and why staff are engaged in the PCC cultural transformation | How were staff members engaged to participate in the initiative? Training provided? |
 Engaging: champions | [OPCC&CT and evaluation team] If/how champions emerged—who, what, why | Who was involved in planning? Was there a particular person who led the charge? How does this person’s energy for this initiative affect ongoing efforts? |
 Executing | [OPCC&CT and evaluation team] Identify spread/touch of PCC to patients | How do you document that a patient has been recommended\ participated in a PCC innovation? |
 Reflecting and evaluating | [OPCC&CT and evaluation team] Site-level processes for tracking transformation progress | What is being done to evaluate implementation of the intervention? Patient outcomes? |