Table 1 Meeting agendas and outcomes guided by the model for developing complex interventions in nursing (MDCN)

1

Problem identification discussion focusing on needs/practice/policy analyses.

The unique needs and challenges of the population as well as the practice and policy issues were discussed.

2

Discussion and determination of the intervention target population.

Participants with multiple chronic conditions returning to the community from an institution were selected as the target population.

3

Discussion of the intervention and drafting of the overall objectives.

Two primary aims, one focused on cost effectiveness and one focused on project effectiveness, were agreed upon by the design team.

4

Adoption of finalized objectives and selection of the guiding theory.

The Chronic Care Model was selected to inform evaluation of the intervention.

5

Presentation of six possible types of telehealth interventions to the design team.

Based on current scientific evidence, discussions from the group, and a review of Medicaid claims data, a recommendation of a combo of 3 interventions was made.

5&6

Build intervention and protocol development.

Remote monitoring for Chronic Conditions, Remote Nursing Assessment, & Care Coordination telehealth types selected.

7–9

Four potential vendors selected for presentation invitations and final vendor selection.

Each vendor presented available services which were evaluated by the group and a combination of 2 vendors was chosen.

10

Expert review with all stakeholders.

Revisions were made based on feedback.