Health Services Research & Development

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Step 1 - Partnership Forum Submission | 2019 HSR&D/QUERI National Conference

Step 1: Enter information

Forum *Session Coordinator* Contact Information

(** = required field)
Dr/Mr/Ms:
Dr. Ms. Mr.
**First Name:
**Last Name:
**Degree (MD, PhD, etc.):
Affiliation:

HSR&D Center of Innovation (COIN) or Resource Center (RC):

OR Non-COIN/RC Affiliation::


QUERI Affiliation (if applicable):


**Phone Number (123-456-7890):
Phone Extension (12345):
**Email Address:
** Forum Title:
(150 char. max)

Please review the content areas below and identify one PRIMARY content area within which your submission best fits. This will greatly facilitate the review process. You may also select a secondary and tertiary content area as needed. Final decisions regarding content area, session placement and thematic relevance will be made by the abstract review committee.

**HSR&D Content Area (PRIMARY):

» Health Services Methods
Implementation Science/Provider Behavior
Complexity Science/Health Systems Engineering
Data/Measurement Science
Veteran Engagement Measurement & Outcomes

» Health Services Research Priorities
Suicide Prevention
Access to Care
Opioids/Pain
Mental Health/PTSD
Women's Health
Health Care Value
Primary Care Practice/Management of Complex Chronic Conditions
Disability/Spinal Cord injury/Traumatic Brain Injury
Long-term Care/Aging
Health Care Informatics
Health Equity
Quality/Safety
Population Health/Whole Health
Virtual Care/Telehealth
Veteran Engagement

» Health Policy and Legislation
Health Policy and Legislation impacting VA (e.g., MISSION Act, Comprehensive Addiction and Recovery Act)

Other important topics:

HSR&D Content Area (secondary):

» Health Services Methods
Implementation Science/Provider Behavior
Complexity Science/Health Systems Engineering
Data/Measurement Science
Veteran Engagement Measurement & Outcomes

» Health Services Research Priorities
Suicide Prevention
Access to Care
Opioids/Pain
Mental Health/PTSD
Women's Health
Health Care Value
Primary Care Practice/Management of Complex Chronic Conditions
Disability/Spinal Cord injury/Traumatic Brain Injury
Long-term Care/Aging
Health Care Informatics
Health Equity
Quality/Safety
Population Health/Whole Health
Virtual Care/Telehealth
Veteran Engagement

» Health Policy and Legislation
Health Policy and Legislation impacting VA (e.g., MISSION Act, Comprehensive Addiction and Recovery Act)

Other important topics:

HSR&D Content Area (tertiary):

» Health Services Methods
Implementation Science/Provider Behavior
Complexity Science/Health Systems Engineering
Data/Measurement Science
Veteran Engagement Measurement & Outcomes

» Health Services Research Priorities
Suicide Prevention
Access to Care
Opioids/Pain
Mental Health/PTSD
Women's Health
Health Care Value
Primary Care Practice/Management of Complex Chronic Conditions
Disability/Spinal Cord injury/Traumatic Brain Injury
Long-term Care/Aging
Health Care Informatics
Health Equity
Quality/Safety
Population Health/Whole Health
Virtual Care/Telehealth
Veteran Engagement

» Health Policy and Legislation
Health Policy and Legislation impacting VA (e.g., MISSION Act, Comprehensive Addiction and Recovery Act)

Other important topics:

**HSR&D-funded?

Is this submission based on an HSR&D-funded study?

Yes    No

**QUERI-related?

Is this submission QUERI-related?

Yes    No

**Qualitative research?

Does this submission use qualitative research methods?

Yes    No




Faculty List

Please provide the name and affiliation of all faculty. Please enter LAST NAME, and first and middle INITIALS (for John G. Smith, you would enter Smith JG). Please identify the Session Coordinator (denoted in red below), followed by other session faculty. NOTE: a maximum of 5 total faculty including partners is permitted. At least one partner is required.

**Last Name

First

MI

Affiliation

Partner?

Session Coordinator: Yes
  Yes
  Yes
  Yes
  Yes



Please read carefully and follow the instructions below.

1. Use only plain text. Special characters (e.g., symbols or formatting) will be lost when the abstract is stored. Please spell out terms rather than using symbols (e.g., Chi-squared, R-squared). You may use >= or <= for "greater than or equal to" or "less than or equal to," respectively.

2. Do not use tables, figures or graphics of any kind in your abstract. They will be lost when the abstract is saved.

-
**Objectives:
**Activities (at least half of the session should be interactive):
**Target Audience:
**Expected Outcomes/Impacts:

  



Questions?