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 1892 IMPLEMENTATION focused publications)
- Pfeiffer CD, Jones MM, Klutts JS, Francis QA, Flegal HM, Murray AO, Willson TM, Hicks NR, Evans CT, Evans ME. Development and implementation of a nationwide multidrug-resistant organism tracking and alert system for Veterans Affairs medical centers. Infection control and hospital epidemiology. 2024 May 24; 1-6.
- Chinchilla M, Greenberg JM, Chassman S, Oberman RS, Bergman AA, Chang ET, Cohen AN, Hamilton AB, Hovsepian S, Gabrielian SE, Young AS. Informing implementation and dissemination of a specialized primary care medical home for patients with serious mental illness: Clinician and administrator perspectives. Psychological Services. 2024 May 23.
- Cordasco KM, Gabrielian SE, Barnard J, Harris T, Finley EP. A structured approach to modifying an implementation package while scaling up a complex evidence-based practice. Health services research. 2024 May 15.
- Ritchie MJ, Smith JL, Kim B, Woodward EN, Kirchner JE. Building a sharable literature collection to advance the science and practice of implementation facilitation. Frontiers in Health Services. 2024 May 9; 4:1304694.
- Kapadia P, Zimolzak AJ, Upadhyay DK, Korukonda S, Murugaesh Rekha R, Mushtaq U, Mir U, Murphy DR, Offner A, Abel GA, Lyratzopoulos G, Mounce LTA, Singh H. Development and Implementation of a Digital Quality Measure of Emergency Cancer Diagnosis. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2024 May 8; JCO2301523.
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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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Videos
There are currently no videos for this topic. |
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Other Resources
- Visit the Quality Enhancement Research Initiative’s website to find out more about implementation science resources, including:
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