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Health Systems Research

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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 1867 IMPLEMENTATION focused publications)



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Publication Briefs

(5 of more than 109 IMPLEMENTATION focused publication briefs)


  • 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
  • VA-GRACE Program Effectively Supports Aging Veterans and Caregivers But Does Not Reduce Readmissions
    The Geriatric Resources for Assessment and Care of Elders (GRACE) program is a collaborative, multidisciplinary care model that provides home-based geriatric care management. This study evaluated VA-GRACE from its implementation (2010) to 2020 in terms of its effect on mortality and readmissions – and examined patient, caregiver, primary care provider, and VA-GRACE staff satisfaction. Findings sho...
    Date: August 29, 2022
  • HSR Special Issue on the Importance of Research Translation
    This special issue of Health Services Research features innovative, cutting-edge research that addresses the intersection of evidence-based policy evaluation, implementation science, and community engagement. Featuring several VA HSR&D and QUERI investigators, the ultimate goal is to highlight emerging scientific work that helps bridge the gap between generating evidence and making policy changes....
    Date: May 16, 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)
3/27/2024 Delivering Care for Women Veterans after Transitioning from One Electronic Health Record to Another: Perspectives from Staff in the Veterans Health Administration Gray, Kristen  
3/21/2024 Telehealth Delivery of Yoga for Wellness Groups: Findings from a Multi-Site TeleYoga Program Evaluation Nicosia, Francesca  
3/13/2024 Budget Impact Analysis for Implementation Science Wagner, Todd  
3/7/2024 Eight Characteristics of Rigorous Multilevel Implementation Research: a Step-by-Step Guide Lengnick-Hall, Rebecca  
Ehrhart, Mark  
1/11/2024 Assessing Implementation Context Using Participatory Qualitative Methods Stadnick, Nicole  
Hamilton, Alison  

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Videos


There are currently no videos for this topic.

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Podcasts


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Other Resources

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