7. The VA Quality Enhancement Research Initiative (QUERI): The Nexus of Practice, Policy, and Science
BS Mittman, VA Greater LA HSR&D Center of Excellence; L McQueen, VA HSR&D Headquarters, Washington, DC; B Kellen, VA HSR&D Headquarters, Washington, DC; FM Weaver, VA Hines, IL, Midwest Center for Health Services and Policy Research; S Asch, VA Greater LA HSR&D Center of Excellence; SA Bozzette, VA San Diego HSR&D Center of Excellence
Workshop Objectives: The Quality Enhancement Research Initiative (QUERI) sits at the nexus of practice, policies, and science with a vantage point unique within the VA and within the national quality improvement community as a whole. Established in 1998 as a formal bridge between research and practice, QUERI uses multidisciplinary teams to take research relevant to 8 priority conditions (Ischemic Heart Disease, Congestive Heart Failure, HIV/AIDS, Diabetes, Mental Health, Substance Abuse, Spinal Cord Injury, and Stroke) into actions that improve veteran health. Now entering its third year, all eight QUERI groups have made remarkable advances as they work to identify best practices, compare ideal to existing practice, close gaps in evidence, and improve clinical practice. As these advances occur, both research and quality improvement are simultaneously strengthened. At present, all 8 groups are focusing on the specific activities needed to take research findings to the bedside and to the policy table. As these translation activities proceed, it is important to continue efforts to open QUERI and expand the network of those involved in strengthening the links between research and practice. This workshop reports on QUERI’s approach and status, then actively involves participants in exploration of how practice, policy, and science merge to promote high quality care and a targeted research agenda. The activities and partnerships needed to apply science in real situations will be addressed through interactive discussions. "Lessons learned" and avenues to expand benefits throughout VA will also be included.
Workshop Activities: 1) Overview – Brief presentation of the QUERI approach and model with related theory.
2) Interactive Discussion – What are the benefits to veterans and to the VA as a whole of linking practice, policy, and science? Where are the "land mines" and how can they be managed?
3) Dynamic discussion using two case studies – The HIV and Spinal Cord Injury QUERI groups will present case studies. Audience exchange will be included as both groups present their translation efforts and discuss the challenges they face.
4) Dialog about next steps – Audience input and feedback will be sought regarding current activities and future direction.
Target Audience: This workshop is designed for VA researchers, clinicians, managers, administrators and others with an interest in the links between research and practice. Anyone with interest in establishing sound policies at all levels (local, regional, national) and anyone wanting to promote evidence-based decisions will enjoy participating in this workshop.
Audience Familiarity: Familiarity with VA research and practice are helpful but not essential.