Evaluating a novel health system intervention for chronic kidney disease care using the RE-AIM framework: Insights after two years

U S Renal Data System, USRDS, 2011, 2011 Stroupe, 2011, Predialysis nephrology care and costs in elderly patients initiating dialysis, Med. Care, 49, 248, 10.1097/MLR.0b013e31820192ba Hynes, 2012, Comparing VA and private sector healthcare costs for end-stage renal disease, Med. Care, 50, 161, 10.1097/MLR.0b013e31822dcf15 Saban, 2010, Measurement invariance of the kidney disease and quality of life instrument (KDQOL-SF) across veterans and non-veterans, Health Qual. Life Outcomes, 8, 120, 10.1186/1477-7525-8-120 Zimmerman, 2003, Attitudes of Canadian nephrologists, family physicians and patients with kidney failure toward primary care delivery for chronic dialysis patients, Nephrol. Dial. Transplant., 18, 305, 10.1093/ndt/18.2.305 Von Korff, 1997, Collaborative management of chronic illness, Ann. Intern. Med., 127, 1097, 10.7326/0003-4819-127-12-199712150-00008 Boyd, 2005, Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance, JAMA, 294, 716, 10.1001/jama.294.6.716 Peikes, 2012, Early evaluations of the medical home: building on a promising start, Am. J. Manag. Care, 18, 105 Weisberg, 2011, The patient-centered medical home and the nephrologist, Adv. Chronic Kidney Dis., 18, 450, 10.1053/j.ackd.2011.09.002 Bayliss, 2011, Multidisciplinary team care may slow the rate of decline in renal function, Clin. J. Am. Nephrol., 6, 704, 10.2215/CJN.06610810 Porter, 2015, rationale and design of a patient-centered medical home intervention for patients with ESRD on hemodialysis, Control. Clin. Trials, 2, 1, 10.1016/j.cct.2015.02.006 US Department of Health and Human Services, Centers for Medicare and Medicaid Services, 2008, Conditions for coverage for ESRD facilities, Fed. Regist., 20393 Carter, 2012, The hypertension team: the role of the pharmacist, nurse, and teamwork in hypertension therapy, J. Clin. Hypertens. (Greenwich), 14, 51, 10.1111/j.1751-7176.2011.00542.x Hynes, 2015, Society of Behavioral Medicine (SBM) position statement: SBM supports increased efforts to integrate community health workers into the patient-centered medical home Philis-Tsimikas, 2004, Improvement in diabetes care of underinsured patients enrolled in project dulce: a community-based, culturally appropriate, nurse case management and peer education diabetes care model, Diabetes Care, 27, 110, 10.2337/diacare.27.1.110 Beckham, 2004, A community-based asthma management program: effects on resource utilization and quality of life, Hawaii Med. J., 63, 121 Norris, 2006, Effectiveness of community health workers in the care of persons with diabetes, Diabet. Med., 23, 544, 10.1111/j.1464-5491.2006.01845.x Kessler, 2011, A proposal to speed translation of healthcare research into practice: dramatic change is needed, Am. J. Prev. Med., 40, 637, 10.1016/j.amepre.2011.02.023 Glasgow, 1999, Evaluating the public health impact of health promotion interventions: the RE-AIM framework, Am. J. Public Health, 89, 1322, 10.2105/AJPH.89.9.1322 Gaglio, 2013, The RE-AIM framework: a systematic review of use over time, Am. J. Public Health, 103, e38, 10.2105/AJPH.2013.301299 Gaglio, 2014, How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research, Implement. Sci., 9, 96, 10.1186/s13012-014-0096-x Hays, 1994, Development of the kidney disease quality of life (KDQOL) instrument, Qual. Life Res., 3, 329, 10.1007/BF00451725 Upenieks, 2010, Healthcare Team Vitality Instrument (HTVI): developing a tool assessing healthcare team functioning, J. Adv. Nurs., 66, 168, 10.1111/j.1365-2648.2009.05137.x SAS Institute Inc., 2013 Centers for Medicare and Medicaid Services CMS End Stage Renal Disease Seamless Care Organizations (ESCO), 2014, Comprehensive ESRD Care Model Fact Sheet, Centers for Medicare and Medicaid Services