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Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era
BACKGROUND: Since 1998, the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI) has supported more rapid implementation of research into clinical practice. OBJECTIVES: With the passage of the Veterans Access, Choice and Accountability Act of 2014 (Choice Act), QUERI...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472006/ https://www.ncbi.nlm.nih.gov/pubmed/27997456 http://dx.doi.org/10.1097/MLR.0000000000000683 |
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author | Kilbourne, Amy M. Elwy, A. Rani Sales, Anne E. Atkins, David |
author_facet | Kilbourne, Amy M. Elwy, A. Rani Sales, Anne E. Atkins, David |
author_sort | Kilbourne, Amy M. |
collection | PubMed |
description | BACKGROUND: Since 1998, the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI) has supported more rapid implementation of research into clinical practice. OBJECTIVES: With the passage of the Veterans Access, Choice and Accountability Act of 2014 (Choice Act), QUERI further evolved to support VHA’s transformation into a Learning Health Care System by aligning science with clinical priority goals based on a strategic planning process and alignment of funding priorities with updated VHA priority goals in response to the Choice Act. DESIGN: QUERI updated its strategic goals in response to independent assessments mandated by the Choice Act that recommended VHA reduce variation in care by providing a clear path to implement best practices. Specifically, QUERI updated its application process to ensure its centers (Programs) focus on cross-cutting VHA priorities and specify roadmaps for implementation of research-informed practices across different settings. QUERI also increased funding for scientific evaluations of the Choice Act and other policies in response to Commission on Care recommendations. RESULTS: QUERI’s national network of Programs deploys effective practices using implementation strategies across different settings. QUERI Choice Act evaluations informed the law’s further implementation, setting the stage for additional rigorous national evaluations of other VHA programs and policies including community provider networks. CONCLUSIONS: Grounded in implementation science and evidence-based policy, QUERI serves as an example of how to operationalize core components of a Learning Health Care System, notably through rigorous evaluation and scientific testing of implementation strategies to ultimately reduce variation in quality and improve overall population health. |
format | Online Article Text |
id | pubmed-5472006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-54720062017-06-30 Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era Kilbourne, Amy M. Elwy, A. Rani Sales, Anne E. Atkins, David Med Care Original Research BACKGROUND: Since 1998, the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI) has supported more rapid implementation of research into clinical practice. OBJECTIVES: With the passage of the Veterans Access, Choice and Accountability Act of 2014 (Choice Act), QUERI further evolved to support VHA’s transformation into a Learning Health Care System by aligning science with clinical priority goals based on a strategic planning process and alignment of funding priorities with updated VHA priority goals in response to the Choice Act. DESIGN: QUERI updated its strategic goals in response to independent assessments mandated by the Choice Act that recommended VHA reduce variation in care by providing a clear path to implement best practices. Specifically, QUERI updated its application process to ensure its centers (Programs) focus on cross-cutting VHA priorities and specify roadmaps for implementation of research-informed practices across different settings. QUERI also increased funding for scientific evaluations of the Choice Act and other policies in response to Commission on Care recommendations. RESULTS: QUERI’s national network of Programs deploys effective practices using implementation strategies across different settings. QUERI Choice Act evaluations informed the law’s further implementation, setting the stage for additional rigorous national evaluations of other VHA programs and policies including community provider networks. CONCLUSIONS: Grounded in implementation science and evidence-based policy, QUERI serves as an example of how to operationalize core components of a Learning Health Care System, notably through rigorous evaluation and scientific testing of implementation strategies to ultimately reduce variation in quality and improve overall population health. Lippincott Williams & Wilkins 2017-07 2016-12-16 /pmc/articles/PMC5472006/ /pubmed/27997456 http://dx.doi.org/10.1097/MLR.0000000000000683 Text en Copyright © 2016 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Original Research Kilbourne, Amy M. Elwy, A. Rani Sales, Anne E. Atkins, David Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title | Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title_full | Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title_fullStr | Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title_full_unstemmed | Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title_short | Accelerating Research Impact in a Learning Health Care System: VA’s Quality Enhancement Research Initiative in the Choice Act Era |
title_sort | accelerating research impact in a learning health care system: va’s quality enhancement research initiative in the choice act era |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472006/ https://www.ncbi.nlm.nih.gov/pubmed/27997456 http://dx.doi.org/10.1097/MLR.0000000000000683 |
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