Table 2 RE-AIM implementation framework

Reach

Staff reports of offering MOUD^a

Engagement with MOUD

Interviews

Medicaid claims data

Community hospital personnel interviews.

Effectiveness

Effect of the intervention on patient outcomes

See Outcomes section of protocol.

Medicaid claims data.

Adoption

Barriers to adopting HBOT

Supports that will need to be in place for hospitals to adopt the intervention

Buprenorphine waivered inpatient providers

Community hospital personnel interviews and surveys.

Community hospital personnel interviews and surveys (Consolidated Framework for Implementation Research (CFIR) inner setting measure, OCM^b, Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure (AIM/IAM/FIM)).

Practice Facilitators Observational Log.

Implementation

Supports needed to be in place to ensure consistent delivery of the intervention

Tools needed to deliver the intervention consistently

Cost of the intervention

Feasibility, appropriateness and acceptability of MOUD

Survey of perceptions of staff and leadership.

Survey of perceptions of site/hub experts and research staff.

Community hospital personnel interviews and surveys.

Cost data.

Community hospital personnel interviews and surveys (CFIR inner setting measure, OCM, AIM/IAM/FIM, Sustainability Model)

Observational logs.

Records of site/hub expert and staff, internal champion and staff time required.

Research records regarding program costs.

Maintenance

Resources needed to maintain the intervention in the long run

Adaptations needed to integrate the intervention into regular practice

Community hospital personnel interviews and surveys.

Practice Facilitator Observational Logs.

Community hospital personnel interviews and surveys (OCM, Sustainability Model, AIM/IAM/FIM)