Health Services Research & Development

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Research Topics


Implementation Science

Research on implementation science involves the study of methods to promote the systematic uptake of research findings into routine clinical practice in order to improve the quality and effectiveness of healthcare. An important concept of implementation is creating partnerships with clinical and operations teams at the outset of research projects. Examples of implementation studies include studying the effectiveness of brief alcohol counseling and, evaluating implementation of VA acute stroke care centers.

Search results were generated based on the search term "implementation". Results are updated weekly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 1346 IMPLEMENTATION focused publications)


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Publication Briefs

(5 of more than 85 IMPLEMENTATION focused publication briefs)

  • Mental Health Integration in VA Primary Care Settings Increased Access to Care – and Costs
    This study examined the effect of the Primary Care-Mental Health Integration Program (PC-MHI) on healthcare use and cost patterns among 5.4 million primary care patients in 396 VA clinics (FY2014-FY2016), while also accounting for the implementation of VA’s Patient Aligned Care Team (PACT) model of care. Investigators assessed VA outpatient and inpatient care and total cost of VA care as a functio...
    Date: August 1, 2019
  • VA Opioid Treatment Outcomes Vary Significantly among Homeless and Unstably Housed Veterans
    To better address the opioid epidemic in Veterans who are unstably housed or homeless, it is necessary to determine where gaps in opioid-related care exist. This study examined a national sample of 59,954 Veterans who accessed VA homeless programs and represented a range of homeless experiences; 6% of this cohort (3,624 Veterans) entered a homeless program with a history of opioid use disorder (OU...
    Date: August 1, 2019
  • Opioid Prescribing Safety Initiative Effective in Decreasing Rates of Opioid Prescribing for Older Veterans with Osteoarthritis
    Investigators in this study examined national trends in opioid and non-opioid analgesic prescribing before and after implementation of VA’s Opioid Safety Initiative (OSI). Findings showed that before OSI implementation, total analgesic prescriptions showed a steady rise, which abruptly decreased to a flat trajectory after the OSI was implemented. This trend was primarily due to a decrease in opioi...
    Date: June 1, 2019
  • Intervention Helps Identify Specialty Mental Health Patients Ready for Transition to Primary Care
    This pilot project tested the implementation of electronic medical record (EMR)-based criteria to identify Veterans currently receiving treatment in the specialty mental health (MH) setting who might be considered for transition to primary care. The intervention, called FLOW (not an acronym), espouses a process of shared decision-making in which MH providers, patients, and, ideally, primary care (...
    Date: March 14, 2019
  • Positive Effect of Collaborative Chronic Care Model on Mental Health Clinical Teams
    This is one of the first studies to evaluate Collaborative Chronic Care Model (CCM) implementation for individuals treated in mental health clinics, and the first CCM trial to assess implementation impact in a multi-diagnosis mental health population. Findings showed that implementation efforts at the clinician level enhance evidence-based care organization, which may result in improvements in out...
    Date: March 1, 2019

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Studies

( 5 of more than 663 IMPLEMENTATION focused projects )

Project No.  Title  PI  Funding Start   
IIR 16-245 Chronic Antibiotic Suppression after Prosthetic Joint Infection: A Target for De-implementation Schweizer-Looby, Marin 2018-09-01
RRP 12-533 Progressing towards implementation of lung cancer screening the VHA Wiener, Renda 2013-10-01
IIR 09-067 Predicting implementation from organizational readiness to change Helfrich, Christian 2010-09-01
RRP 09-224 Developing an implementation program for weight loss in persons with SCI Rajan, Suparna 2009-08-10
SDR 18-150 Addressing Intimate Partner Violence Among Women Veterans: Evaluating the Impact and Effectiveness of VHA's Response Iverson, Katherine 2019-11-01

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HSR&D Briefs, Reports, Newsletters

5 sample "implementation" publications displayed.

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Topic Spotlight


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Cyberseminars

The most recent "implementation" seminars are displayed.
Date Title Presenter(s)
4/1/2020 Budget Impact Analysis Wagner, Todd  
2/20/2020 Accelerating Implementation of Virtual Care in VHA Practice: Think Tank Results Lewinski, Allison  
Massey, Oliver  
Turvey, Carolyn  
Bosworth, Hayden  
1/21/2020 An Overview on Hybrid Effectiveness-Implementation Designs Curran, Geoffrey  
1/14/2020 What is Implementation Science? Asch, Steven  
12/5/2019 Adaptation and Implementation of a Family Caregiver Skills Training Program: From single site RCT to multisite pragmatic intervention Kaufman, Brystana  
Shepherd-Banigan, Megan  
Van Houtven, Courtney  

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Videos


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Podcasts

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Other Resources

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