Table 1 RE-AIM community health worker institute (CHWI) program components, measures, and key data sources

Reach

R1: % of eligible patients screened positive for HRSNs who were referred to a CHW

R2: total number of eligible patients referred to a CHW

• EHR HRSN Screening Database

• CHWI REDCap Database

Effectiveness

E1. % of eligible patients connected to at least one social service

E2. % of eligible patients who self-reported resolution of progress on at least on HRSN

• CHWI REDCap Database

Adoption

A1. % of eligible patients screened positive for HRSNs who were referred to a CHW by clinical team

A2. % of clinical teams with a clinical champion present during the study period

• EHR HRSN Screening Database

• CHWI REDCap Database

• Clinician Champion Tracking Sheet

Implementation

I1. % of referrals received via electronic referral order entered into CHWI database

I2. median time, in days, between the electronic referral order date and first CHW contact date

• EHR Electronic Referral Order Database

• CHWI REDCap Database

Maintenance

M1. median monthly cost per household per CHW

• Health System Operations Budget