RE-AIM Evaluation Plan for Washington State Innovation Models Project

Qual Manag Health Care. 2020 Apr/Jun;29(2):81-94. doi: 10.1097/QMH.0000000000000246.


The State of Washington received a State Innovation Models (SIM) $65 million award from the federal Centers for Medicare & Medicaid Services to improve population health and quality of care and reduce the growth of health care costs in the entire state, which has over 7 million residents. SIM is a "complex intervention" that implements several interacting components in a complex, decentralized health system to achieve goals, which poses challenges for evaluation. Our purpose is to present the state-level evaluation methods for Washington's SIM, a 3-year intervention (2016-2018). We apply the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) evaluation framework to structure our evaluation. We create a conceptual model and a plan to use multiple and mixed methods to study SIM performance in the RE-AIM components from a statewide, population-based perspective.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Centers for Medicare and Medicaid Services, U.S.
  • Delivery of Health Care / standards*
  • Humans
  • Program Evaluation / methods*
  • Quality of Health Care*
  • United States
  • Washington