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Table 1 Hypotheses, design (sample), data collection time points, & outcome measures

From: Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol

Hypothesis Design (sample) Time points Outcome measure (data source)
System-level primary hypothesis:
A higher proportion of complex cancer survivors will meet quality of care guidelines for their chronic conditions and for cancer follow-up care 12 months post-implementation
Repeated cross-sections of distinct samples of patients at each time point (n~ 500) • 12 and 24 months pre-implementation (historical controls)
• 12, 24 and 36 months during implementation
Primary outcome: Composite care quality score (EHR)
Chronic disease score
- % patients receiving guideline-appropriate services (process measures) and meeting guideline-recommended targets (intermediate outcomes)
Cancer follow-up care score
- % patients receiving NCCN guideline-appropriate cancer surveillance
Patient-level hypothesis:
Patient-reported care coordination scores will significantly improve over time among complex cancer survivors 12 months post-implementation
Repeated measures on same patients
(n = 402)
• Baseline
• 6 and 12 months post- baseline
Care coordination using patient perception of care scale [65] (patient surveys)
- Coordination of care – overall and at visit
- Specialty care access
- Education/information
- Preferences, social support, health literacy
- Health-related quality of life