Visualization of the reach of an intervention: Use of geographic - PowerPoint PPT Presentation

1 Co-Hosted by the National Institutes of Health and AcademyHealth Visualization of the reach of an intervention: Use of geographic information systems in implementation research Lexus L. Ujano-De Motta, B.S. Heather Gilmartin, PhD, NP Seattle-Denver Center of Innovation - VHA @ SeaDenCOIN

Disclaimer 2 The contents of this presentation do not represent the views of the U.S. Department of Veterans Affairs or the United States Government Conflicts of Interest - None

Overview 3 § VA rural Transitions Nurse Program § Reach in a RE-AIM framework § Geographic information systems § Stakeholder insights

4 Implementation Research The study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public health settings. National Institutes of Health

5 VA Rural Transitions Nurse Program (TNP) Leonard et al, 2017

6 RE-AIM Framework -- REACH Actual participants X 100 Intended participants Glasgow et al, 1999

7 TNP Reach – One Site 123 participants X 100 = 7% 1695 eligible May to September 2017

How far had TNP Reached… 8

Geographical Information System Mapping 9 • Framework for gathering, managing, analyzing data • Rooted in science of geography • Reveals patterns TNP enrolled 1,679 Veterans at 9 sites

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14 …this is a great advertisement for our program.”

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… they can visualize that the patient is in the 16 middle of nowhere.. And so we can’t get home health care to them, we can’t get someone to fill their med box… it helps us be aware of distances…

Acceptability & Appropriateness 17 Item (n = 13) Mean The GIS meets my approval 4.4 The GIS map is appealing to me 4.3 I like the GIS map 4.3 I welcome the GIS map 4.5 The GIS map seems fitting 4.5 The GIS map seems suitable 4.5 The GIS seems applicable 4.5 The GIS map seems like a good match 4.5 Key: 5 point Likert Scale – (1) Complete disagree to (5) Complete agree Weiner et al., 2017

Why Use GIS for Reach 18 • Easy data visualization method • Self-explanatory • Communicates beyond numbers

GIS Resources 19 • Environmental Systems Research Institute • www.esri.com • Mango Mapping • www.mangomap.com

Acknowledgements 20 Robert Burke Chelsea Leonard Office of Rural Health Andrew Coy Brandi Lippmann Office of Nursing Services David Gaskin Ashlea Mayberry Transition Nurses Anne Hines Marina McCreight Site Champions Lynette Kelley Ted Warsavage TNP Veterans :

References 21 • Leonard, C., et al. (2017). Implementation and dissemination of a transition of care program for rural veterans: A controlled before and after study. Implementation Science, 12 (1), 123. • Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89 (9), 1322-1327. • Weiner, B. J., et al. (2017). Psychometric assessment of three newly developed implementation outcome measures. Implementation Science, 12 (1), 108.

22 THANK YOU! Lexus L. Ujano-De Motta, B.S. Seattle-Denver Center of Innovation (COIN) - Department of Veterans Affairs Lexus.Ujano-DeMotta@va.gov Heather Gilmartin, PhD, NP. Seattle-Denver Center of Innovation (COIN) - Department of Veterans Affairs Heather.Gilmartin@va.gov @ SeaDenCOIN @hgrnepi