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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