Health Services Research & Development

• Sales AE, Wilson PM, Wensing M, Aarons GA, Armstrong R, Flottorp S, Hutchinson AM, Presseau J, Rogers A, Sevdalis N, Squires J, Straus S, Weiner BJ. Implementation Science and Implementation Science Communications: our aims, scope, and reporting expectations. Implementation science : IS. 2019 Aug 6; 14(1):77.
• Cochran G, Cole ES, Warwick J, Donohue JM, Gordon AJ, Gellad WF, Bear T, Kelley D, DiDomenico E, Pringle J. Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers. Addiction science & clinical practice. 2019 Aug 1; 14(1):25.
• Navathe AS, Emanuel EJ, Bond A, Linn K, Caldarella K, Troxel A, Zhu J, Yang L, Matloubieh SE, Drye E, Bernheim S, Lee EO, Mugiishi M, Endo KT, Yoshimoto J, Yuen I, Okamura S, Stollar M, Tom J, Gold M, Volpp KG. Association Between the Implementation of a Population-Based Primary Care Payment System and Achievement on Quality Measures in Hawaii. JAMA. 2019 Jul 2; 322(1):57-68.
• Pimentel CB, Mills WL, Palmer JA, Dillon K, Sullivan JL, Wewiorski NJ, Snow AL, Allen RS, Hopkins SD, Hartmann CW. Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes. Journal of nursing care quality. 2019 Jul 1; 34(3):210-216.
• Smith SN, Almirall D, Prenovost K, Liebrecht C, Kyle J, Eisenberg D, Bauer MS, Kilbourne AM. Change in Patient Outcomes After Augmenting a Low-level Implementation Strategy in Community Practices That Are Slow to Adopt a Collaborative Chronic Care Model: A Cluster Randomized Implementation Trial. Medical care. 2019 Jul 1; 57(7):503-511.

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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
• 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
• Women’s Health VA Stakeholders Discuss “Ideal” Care
  As part of a multisite implementation trial of evidence-based quality improvement for tailoring PACT to women Veterans’ healthcare needs, investigators conducted semi-structured interviews with 86 local leaders. At the conclusion of interviews about women’s primary care, participants were asked to describe their conceptualizations of “ideal care” for women Veterans. Respondents commonly discussed ...
  
  Date: January 1, 2019

» View more Publication Briefs

» 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...
  
  
• ESP Report: Understanding the Intervention and Implementation Factors Associated with Benefits and Harms of Pay for Performance Programs in Healthcare
  ...ESP Report: Understanding the Intervention and Implementation Factors Associated with Benefits and Harms of Pay for Performance Programs in Healthcare...
  
  
• 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...
  
  

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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