Health Services Research & Development

• Hebert CA, Trudeau SA, Sprinkle W, Moo LR, McConnell ES. Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place. Health & Social Care in The Community. 2019 Sep 15.
• Shepherd-Banigan M, Kaufman BG, Decosimo K, Dadolf J, Boucher NA, Mahanna EP, Bruening R, Sullivan C, Wang V, Hastings SN, Allen KD, Sperber N, Coffman CJ, Van Houtven CH. Adaptation and Implementation of a Family Caregiver Skills Training Program: From Single Site RCT to Multisite Pragmatic Intervention. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. 2019 Sep 9.
• Elwy AR, Wasan AD, Gillman AG, Johnston KL, Dodds N, McFarland C, Greco CM. Using formative evaluation methods to improve clinical implementation efforts: Description and an example. Psychiatry Research. 2019 Aug 26; 112532.
• Kim B, Sullivan JL, Ritchie MJ, Connolly SL, Drummond KL, Miller CJ, Greenan MA, Bauer MS. Comparing variations in implementation processes and influences across multiple sites: What works, for whom, and how? Psychiatry Research. 2019 Aug 16; https://doi.org/10.1016/j.psychres.2019.112520.
• Hamilton AB, Finley EP. Qualitative methods in implementation research: An introduction. Psychiatry Research. 2019 Oct 1; 280:112516.

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• 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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» View more Studies

• FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation
  ...FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation HSR&D Home August 2015 Download PDF version (418...
  
  
• FORUM, Spring 2017: Implementation Science
  ...implementation science. Enhancing PACT Implementation through Qualitative Research By Michelle Lampman, PhD, Samantha L. Solimeo, PhD, and Greg...
  
  
• FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation
  ...FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation HSR&D Home August 2015 » Back to Table of Contents...
  
  
• FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation
  ...Based Implementation HSR&D Home August 2015 » Back to Table of Contents Response to Commentary Evidence-Based Implementation: Towards a Scientific...
  
  
• FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation
  ...FORUM, August 2015: Lean Enterprise Transformation within VHA, Evidence-Based Implementation HSR&D Home August 2015 » Back to Table of Contents...
  
  

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Podcasts

• Using Third Party Contractors in the Implementation of the Veterans Choice Program 07/19/2017
• Quantifying Facilitation in Implementation Trials 06/27/2017

Other Resources

• Visit the Quality Enhancement Research Initiative (QUERI) website to learn more about how VA HSR&D focuses on implementation within certain research areas.
• Visit the website of the open-access journal, Implementation Science, co-edited by HSR&D staff.
• Visit the National Implementation Research Network (part of the NIH) website.
• Implementation Science Exchange