BACKGROUND/RATIONALE:
Healthcare organizational factors influence the environment within which providers practice and patients experience care, and as a result, have substantial influence on quality of care and implementation of evidence-based practice and policy. Integration of knowledge of the organizational factors that promote quality with advanced implementation strategies and multilevel stakeholder engagement may increase research impacts and promote learning healthcare system principles.

OBJECTIVE(S):
Dr. Yano's research, mentorship and service objectives have focused on: (1) examining multilevel determinants of VA care quality and patient experience, (2) improving the effectiveness of primary care, women's health and other care delivery models; (3) advancing the scientific evidence base needed to systematically improve women Veterans' health care; and (4) accelerating research impacts through implementation science and advances in multilevel stakeholder engagement, including operations/policy partners, providers/teams and Veterans.

METHODS:
Dr. Yano is Director of the recently renewed VA Los Angeles HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, Director of the Women Veterans' Healthcare CREATE Initiative, PI of the VA Women's Health Research Network, and PI of the Women's Health Services/QUERI Partnered Evaluation Initiative. She served as PI and Co-PI of two of five component CREATE studies, including a cluster randomized trial of an evidence-based quality improvement (EBQI) approach to tailoring PACT to meet women Veterans' needs and an evaluation of impacts of national variations in comprehensive care on women Veterans' care quality and experience. With her emphasis on partnered, high-value evaluation/research, Dr. Yano also led an array of operations-funded projects from different national VA program offices. She published or has in press 25 papers (10 of which were first or senior authored), and delivered/coauthored over 40 scientific presentations, national cyberseminars, and briefings within and outside VA. She mentored nearly a dozen career development applicants/awardees, postdoctoral fellows, graduate students, and mid-career faculty, among others, almost all of whom are on VA career tracks. She served on a wide array of VA HSR&D, QUERI, VA Program Office, and non-VA scientific committees, boards, and panels, focused chiefly on research dissemination and implementation science advances and impacts. In FY18, Dr. Yano received a Special Recognition Award from Disabled American Veterans for her VA women's health research, and was recognized as one of 50 US Women of Impact in Health Care.

FINDINGS/RESULTS:
Not yet available.

IMPACT:
Dr. Yano's contributions have continued to inform evidence-based practice and policy within and outside the VA, with particular impacts in primary care and women's health and contributions to implementation science. She has changed the landscape of VA women's health research and care delivery, and advanced partnered research tenets.

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External Links for this Project

NIH Reporter

Grant Number: IK6RX002991-01
Link: https://reporter.nih.gov/project-details/9612868

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PUBLICATIONS:

None at this time.

DRA: Health Systems Science
DRE: none
Keywords: none
MeSH Terms: none