2006 — Innovative Research-Operations Partnerships in VHA
Mittman BS, Center for Implementation Practice and Research Support; Shreve ST, Hospice and Palliative Care; Ersek M, Comprehensive End-of-Life Care Initiative PROMISE (Measurement) Center; Lorenz KA, Comprehensive End-of-Life Care Quality Improvement Center; Luhrs CA, Comprehensive End-of-Life Care Initiative Implementation Center; Davey VJ, VA Office of Public Health; Dobalian A, VHA Emergency Management Evaluation Center; Lisi AJ, Chiropractic Care, VA Office of Rehabilitation Services;
To describe the background, motivation, characteristics, and accomplishments of three examples of innovative, productive partnerships between VHA researchers and operations programs.
The workshop will feature presentations from the research and operations leaders involved in three partnerships. (1) The first example is a partnership between VHA’s Comprehensive End-of-Life Care Initiative (CELC), conducted by VA’s Hospice and Palliative Care Program (HPC), and Centers located at three separate VHA facilities. The Centers’ portfolios include the development and use of the Bereaved Family Survey and the development and implementation of informatics tools and evidence-based quality improvement resources. HPC provides core funding, whereas HSR&D funding has supported tool and resource development. Program leaders (operations and research) will describe their approach to activity planning and prioritization, balancing research and operations considerations (e.g., rigor vs. timeliness, academic publication vs. operations-related products), and operations and research funding synergies. (2) The second example is the Veterans Emergency Management Evaluation Center (VEMEC), a single research/operations support center established by the VHA Office of Public Health (OPH). VEMEC also partners with the VHA Office of Emergency Management (formerly part of OPH), and the VA Office of Operations, Security, and Preparedness. VEMEC conducts projects that are aimed at building the evidence base to support VA’s “Fourth Mission” (ensuring continuity of care during disasters, and supporting community response efforts). The presentation will describe mechanisms for joint governance and prioritization decisions, VEMEC’s portfolio of activities, and the use of center output in VA policy and practice decision making. (3) The third example is an ongoing pilot study of the planning and implementation of VA’s chiropractic care program, conducted jointly by a multi-disciplinary team of QUERI researchers and VA’s national program director for chiropractic care. The presentation will describe the background and motivation for the project, its funding arrangements, project team strategies for balancing the pursuit of generalizable knowledge vs. program/decision making goals, and challenges encountered in conducting research on a VA program when the project co-PI serves simultaneously in program leadership and research roles. The presentations will offer insights to inform how researchers and operational partners can engage one another, opportunities and tensions of the relationships, and critical challenges to partnerships striving to develop generalizable knowledge and guide implementation.
All HSR&D and QUERI researchers interested in exploring innovative approaches for conducting collaborative, partnered research.
Assumed Audience Familiarity with Topic: