Implementation Science

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.

Citations

(5 of more than 1998 IMPLEMENTATION focused publications)

Baird SA, Damush TM, Rattray NA, Penney LS, Miech EJ, Homoya BJ, Ferguson J, Myers LJ, Bravata DM. Using a "Kickoff" to build implementation partner teams and action plans for active implementation of a quality improvement project. Frontiers in Health Services. 2025 Jun 10; 5(1):1580653, DOI: 10.3389/frhs.2025.1580653.
Domlyn AM, Hooks G, Freitag M, Evans L, Stewart M, Damschroder L, Sussman JB. Core and modifiable components of academic detailing: demonstration of implementation strategy development, tailoring, and documentation process. Frontiers in Health Services. 2025 Jun 3; 5:1521504, DOI: 10.3389/frhs.2025.1521504.
Kaufman, Lanford, Sperber, Stanwyck, Ma, Thorpe, Hastings, Bekelman, Van Houtven. Multi-Level Factors Impacting Implementation of Outpatient Palliative Care: Perceptions of VA Providers. Journal of applied gerontology : the official journal of the Southern Gerontological Society. 2025 May 27; 7334648251343484, DOI: 10.1177/07334648251343484.
Neville TH, Walling A, Wenger NS, Mittman BS, Tseng CH, Chang D, Cook D, Marentes Ruiz CJ, Cassano H, Beers E, Gadgil R, Kamangar N, Blake N, Tarn DM. Implementation and evaluation of the 3 Wishes Project in safety-net hospitals: Protocol for a hybrid effectiveness-implementation study. PLoS ONE. 2025 May 2; 20(5):e0320843, DOI: 10.1371/journal.pone.0320843.
Goodman M, Strouse M, Boucher C, Glatt S, Jacobs J, Waliski A, Fonseca E, Osterberg T, Patel S. Pilot implementation of a telehealth safety planning group intervention for suicidal rural Veterans enhanced by lived experience veteran peer participation. Frontiers in psychiatry. 2025 Mar 18; 16:1512523, DOI: 10.3389/fpsyt.2025.1512523.

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Publication Briefs

(5 of more than 114 IMPLEMENTATION focused publication briefs)

Telehealth Mindfulness-Based Interventions Improve Pain-Related Function and Biopsychosocial Outcomes Among Veterans with Chronic Pain
This randomized clinical trial aimed to test the effectiveness of two scalable, 8-week telehealth mindfulness-based interventions (MBIs) – group and self-paced – compared to usual care. Findings showed that both the group and self-paced MBI significantly improved pain-related function and biopsychosocial outcomes compared to usual care. Group and self-paced MBIs performed similarly. Averaged acros...
Date: August 19, 2024
Veterans with Atrial Fibrillation at VAMCs Serving More Minorities Less Likely to Receive Anticoagulation for Stroke Prevention
This study sought to determine whether medical center racial/ethnic composition is associated with initiation of anticoagulant therapy for Veterans with incident AF. Findings showed that initiation of any anticoagulant and warfarin therapy was significantly lower among Veterans at VAMCs serving larger proportions of minoritized patients. There was no association between initiation of newer, guidel...
Date: June 24, 2024
QUERI Evaluation Identifies Barriers, Facilitators, Lessons Learned, and Strategies to Better Standardize Veteran Safety Practices Across VA and Community Care
VA’s “Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook” was designed to standardize safety practices across VA-delivered and VA-purchased care (i.e., community care). This project identified organizational barriers and facilitators related to Guidebook implementation, identified lessons learned during implementation, and developed strategies to improve f...
Date: May 8, 2024
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

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Studies

( 5 of more than 14 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 22-081	Building a shared decision making implementation strategy for the emerging paradigm of precision cancer screening	Clayman, Marla	2023-10-01

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HSR Briefs, Reports, Newsletters

Implementation of Age-Friendly Health Systems in Outpatient Settings: A Systematic Review (07-02-2025)

Effectiveness and Implementation of Teach-Back as an Approach to Patient Education: A Systematic Review (06-23-2025)

Systematic Review - Effectiveness and Implementation of Teach-Back as an Approach to Patient Education (05-16-2025)

Systematic Review - Implementation of Age-Friendly Health Systems in Outpatient Settings (04-01-2025)

Systematic Review: Implementation of Psychotherapies and Mindfulness-based Stress Reduction for Chronic Pain and Chronic Mental Health Conditions (01-20-2022)

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Cyberseminars The most recent "implementation" seminars are displayed.
Date	Title	Presenter(s)
9/15/2025	Evidence, Policy, and Implementation Center (EPIC) QUERI, Session 1	Ryan, Samantha
9/4/2025	Getting to Fidelity: Consensus Development Process to Identify Core Activities of Implementation Facilitation	Smith, Jeffrey
1/8/2025	Incorporating Equity into Implementation Science: A Health Equity Adaptation to the Evidence-Based Quality Improvement Implementation Strategy	Wong, Michelle Gore, Kara
12/4/2024	Suicide Prevention 2.0 (SP 2.0) Clinical Telehealth Program	Walker, Jessica A. Stacy, Meaghan
11/14/2024	Planning for and Assessing Rigor in Rapid Qualitative Analysis (PARRQA): A Consensus-Based Framework for Designing, Conducting, and Reporting	Nevedal, Andrea Kowalski, Christine
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Videos

There are currently no videos for this topic.

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Podcasts

Understanding and Evaluating Screening for Intimate Partner Violence in VA Care 09/10/2024
Past, Present, and Future of QUERI 09/14/2023

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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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Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.

VA Health Systems Research

Research Topics

Implementation Science

Citations

Publication Briefs

Studies

HSR Briefs, Reports, Newsletters

Cyberseminars

Videos

There are currently no videos for this topic.

Podcasts

Other Resources