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Health Services Research & Development

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Health Care Organization and Implementation

Health Services Research and Development Service is interested in scientific approaches to developing methods that promote better understanding of the healthcare organizational or system and implementation factors associated with variation in clinical outcomes or processes of care. In general, studies in this portfolio explore contextual factors that will inform future implementation of effective programs or treatments, conduct empirical or observational research based on implementation theories, frameworks, or processes; involve observational studies of implementation processes associated with an effectiveness study where the focus is on patient outcomes (e.g., Hybrid Type I designs - see Curran et al. 2012), and/or develop measures or methods that will improve the assessment and understanding of implementation uptake, fidelity, and/or impact across the VA healthcare system. Proposals that test a combination of clinical and implementation strategies (e.g., Hybrid Type II designs - see Curran et al. Medical Care 2012); or propose a research question that tests implementation strategies that are aligned with an organizational theory or framework are also appropriate. Studies that primarily involve program evaluation or quality improvement of regional or national roll-outs, especially in close partnership with VHA clinical operations should be considered under the QUERI funding mechanism.

For general information about Health Care Organization and Implementation, please contact:

Stephen E. Marcus, PhD, MPH
Scientific Portfolio Manager
Health Services Research and Development (10X2H)
Email: stephen.marcus@va.gov

Stephen E. Marcus, PhD, MPH

Dr. Marcus is the Scientific Program Manager for HSR&D’s healthcare organization and implementation, and systems modeling, design, and delivery research portfolios. His professional career prior to joining VA included positions at the National Center for Health Services Research (now AHRQ); Office on Smoking and Health, Centers for Disease Control and Prevention; Division of Cancer Control and Population Sciences, National Cancer Institute; and most recently the National Institute of General Medical Sciences, National Institutes of Health.

Dr. Marcus holds a joint Masters in Public Health, Epidemiology, and Medical Care Administration from the University of Michigan at Ann Arbor, and a PhD in Epidemiology from the University of North Carolina at Chapel Hill. He has broad interests in psychosocial (social and behavioral sciences) and clinical epidemiology (health services research), as well as in the application of complex systems science, engineering, and computational approaches to population health and healthcare.  


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