AUTHOR=Kenney Rachael R. , Klocko Robert P. , Manheim Chelsea E. , Mog Ashley C. , Young Jessica P. TITLE=Applying RE-AIM to evaluations of Veterans Health Administration Enterprise-Wide Initiatives: lessons learned JOURNAL=Frontiers in Health Services VOLUME=Volume 3 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/health-services/articles/10.3389/frhs.2023.1209600 DOI=10.3389/frhs.2023.1209600 ISSN=2813-0146 ABSTRACT=Overall, participants reported both strengths and challenges to using RE-AIM as an evaluation framework. The overarching theme around the challenges with RE-AIM dimensions was the importance of context. Many of these benefits and challenges of using RE-AIM may not be unique to RE-AIM and would likely occur when using any prescribed frameworkThe participants reported on the RE-AIM domains in a variety of ways in their evaluation reports and were not always able capture data as originally planned.Recommendations included: start with an evaluation framework (or frameworks) and revisit it throughout the evaluation, consider applying RE-AIM PRISM (Practical Robust Implementation Framework) to gain a broader perspective, and intentionally integrate quantitative and qualitative team members, regardless of the framework used.