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Health Services Research & Development

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Using Data and Information Systems in Partnered Research

A Mixed Methods Evaluation of Evidence-Based Quality Improvement of Comprehensive Women’s Health Care Implementation in Low-Performing VA Facilities


by Alison Hamilton, PhD, MPH ; Elizabeth Yano, PhD, MSPH
Seminar date: 5/19/2020

Description: In a cluster randomized trial, our team tested evidence-based quality improvement (EBQI) as an implementation strategy for tailoring PACT to meet women Veterans’ needs by increasing PACT fidelity, comprehensiveness of care, and gender sensitivity of that care. Based on trial results, VA Women's Health Services adopted EBQI and co-funded, with VA QUERI, a partnered evaluation of EBQI effectiveness in low-performing VA facilities. Using a dynamic wait-listed design, we are evaluating roll-out of EBQI at 21 low-performing VAs (seven sites per year over three years) with regard to: (1) barriers and facilitators to achieving delivery of comprehensive women’s health care; (2) effectiveness of EBQI in supporting low-performing VA facilities achieve improved practice features, provider/staff attitudes, quality of care, and patient experience; and (3) contextual factors, local implementation processes, and organizational changes over time. In this presentation we will review our mixed methods evaluation design and explain our use and triangulation of multiple data sources, as well as our partnered approach.



DOWNLOAD: PDF handout | Audio only (mp3) | transcript


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