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VIReC Using Data and Information Systems in Partnered Research

Measuring Transformation in Healthcare: Findings and Lessons Learned from the Whole Health Implementation Study

by Barbara Bokhour, PhD ; Justeen Hyde, PhD
Seminar date: 10/19/2021

Description: Current disease-focused approaches to healthcare in the U.S. are costly and largely ineffective in preventing premature morbidity and mortality. Many efforts to improve health outcomes include the delivery of patient-centered care (PCC). PCC is defined as an approach to healthcare that views patients as active partners with unique preferences, values, cultures and socioeconomic conditions. Over the last decade, the VA's Office of Patient Centered Care and Cultural Transformation (OPCC) has expanded implementation of PCC through the development and advancement of Whole Health approaches to care. This approach requires cultural transformation in healthcare that affects all facets of healthcare delivery, including patient engagement in their own healthcare, provider orientation to patients, provision of a range of skill-building and complementary integrative health services, and system-level changes in structures and processes of care. Measurement of progress towards system level transformation requires the use of multiple methods, employed repeatedly over time. This presentation highlights methods used to define and measure progress towards becoming a patient-centered, Whole Health System of Care. Data are drawn from a larger partnered evaluation study that included 18 "flagship" medical centers that were selected to play a leading role in Whole Health system transformation within their VISN.
The objectives of this presentation are to:
1. Describe the defining features of a Whole Health System of Care and efforts underway to support implementation across VA
2. Provide an overview of a realist evaluation approach to measuring transformations in healthcare services and systems
3. Describe the multiple methods used in the Whole Health implementation study, including each methods strengths and unique contributions to understanding progress and their limitations
4. Highlight the mutual benefits of partnered research that engages central office and local site leaders in the design, collection, and continuous review of implementation evaluation data

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DOWNLOAD: PDF handout | Audio only (mp3) | transcript not yet available

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