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Research Topics


Implementation Science

Implementation science seeks to apply and integrate research evidence into practice and policy, with the goal of closing the gap between what is known and what is done. Implementation science researchers work to identify and address both facilitators and barriers to the uptake of proven health interventions and evidence-based practices.

VA health systems researchers conduct a wide variety of implementation science research, largely through the Quality Enhancement Research Initiative (QUERI). Much of QUERI’s work has had significant impact on VA care and care policy, resulting in improved care for Veterans.

Each section below is populated by a search of the HSR website. Search results are generated based on the search term "implementation". Results are updated as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 1876 IMPLEMENTATION focused publications)



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Publication Briefs

(5 of more than 111 IMPLEMENTATION focused publication briefs)


  • VA’s Referral Coordination Initiative Does Not Measurably Affect VA or Community Care Wait Times or Community Care Referrals
    This study investigated whether the Referral Coordination Initiative (RCI) was associated with changes in the proportion of VA specialty referrals completed by community-based care (CC) providers and mean appointment waiting times for VA and CC providers. Findings showed that in the initial years of the RCI program, RCI implementation did not measurably affect CC referral rates or wait times at VA...
    Date: March 30, 2024
  • PACT Implementation Associated with Potential Short-Term Improvement in Quality of Follow-Up for Certain Diagnostic Tests
    This study used 14 years (2006–2019) of nationwide VA data on Veterans who had abnormal test results related to diagnostic testing for six different cancers. Findings showed that PACT implementation was associated with a potential short-term improvement in the quality of follow-up for certain test results. Better PACT implementation was associated with a reduction in potentially missed timely foll...
    Date: March 14, 2024
  • VA Surgical Care Comparable or Better than Non-VA Surgical Care
    Investigators conducted a systematic review to compare VA and non-VA care for surgical conditions across domains of quality and safety, access, patient experience, and comparative cost/efficiency using studies published between 2015 and 2021 – following implementation of the Choice and MISSION Acts. Findings showed that in all but two studies, VA care had comparable or better quality and safety ou...
    Date: May 8, 2023
  • Rural-Urban Telemedicine Disparity among Veterans Worsens Following Onset of COVID-19 Pandemic
    This study examined changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among nearly 64 million primary care and 4 million mental health integration visits. Findings showed that the pandemic exacerbated the rural-urban telemedicine divide across VA, possibly because underlying causes of digital inequity were not addressed as init...
    Date: March 7, 2023
  • Timeliness of VA Purchased Community Primary Care Did Not Improve Following Early Expansion Under MISSION Act
    This study examined whether early Community Care Network (CCN) implementation impacted community primary care (PC) appointment wait times. Findings showed that expanded contracting with community providers and new provider network adequacy standards implemented through CCNs did not, in early stages, improve the timeliness of community primary care for Veterans. Wait times increased sharply for bot...
    Date: October 28, 2022

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Studies

( 5 of more than 709 IMPLEMENTATION focused projects )

Project No.  Title  PI  Funding Start   
IIR 22-081 Building a shared decision making implementation strategy for the emerging paradigm of precision cancer screening Clayman, Marla 2023-10-01
IIR 20-318 Impact of COVID-19 on implementation and outcomes of VA's Life-Sustaining Treatment Decisions Initiative Linsky, Amy 2022-06-01
IIR 20-077 PAtient-centered mUltidiSciplinary care for vEterans undergoing surgery (PAUSE): a hybrid 1 clinical effectiveness-implementation intervention trial Arya, Shipra 2021-05-01
IIR 19-238 Continuous Wearable Monitoring Analytics to Improve Outcomes in Heart Failure - LINK-HF2 multicenter implementation study Stehlik, Josef 2020-09-01
IIR 16-245 Chronic Antibiotic Suppression after Prosthetic Joint Infection: A Target for De-implementation Schweizer-Looby, Marin 2018-09-01

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Cyberseminars

The most recent "implementation" seminars are displayed.

Date Title Presenter(s)
5/23/2024 The Surgical Pause: Measuring Frailty and Doing Something About It Hall, Daniel  
5/7/2024 A Mixed-Methods Evaluation Demonstrates the Impact of a Whole Health Based Chronic Pain Management Program for Veterans Haun, Jolie  
Fowler, Christopher  
5/2/2024 Similarities and Differences Between Pragmatic Trials and Hybrid Effectiveness-Implementation Trials Fortney, John  
4/17/2024 Financing Strategies to Promote Evidence-Based Practice Implementation and Sustainment: Examples from Behavioral Health Dopp, Alex  
4/11/2024 Understanding Pathways from Implementation to Sustainment: A Longitudinal, Mixed Methods Analysis of Promising Practices in the Veterans Health Administration Jackson, George  
Nevedal, Andrea  

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Videos


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Podcasts


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Other Resources

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