The Center for Policy Evaluation

政策评估中心

• 批准号: 10539652
• 负责人: David Chimin Chan
• 金额: --
• 依托单位: VETERANS ADMIN PALO ALTO HEALTH CARE SYS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10539652
• 关键词: Address; Area; Belief; Caring; Clinical; Communication; Communities; Complex; Data; Decision Making; Doctor of Philosophy; Economics; Emergency Medicine; Employment; Ensure; Environment; Ethics; Evaluation; Funding; Future; Goals; Health; Health Services; Health Services Accessibility; Healthcare Systems; Home; Homelessness; Improve Access; Judgment; Knowledge; Lead; Leadership; Learning; Link; Mental Health; Methodology; Methods; Military Personnel; Mission; Modernization; Names; Natural experiment; Outcome; Palliative Care; Patients; Physicians; Plant Roots; Policies; Policy Making; Primary Health Care; Quality of Care; Randomized Controlled Trials; Recording of previous events; Research; Research Design; Research Personnel; Research Project Grants; Resolution; Resources; Science; Services; Source; Speed; Spinal cord injury; Suicide; Suicide prevention; Thinking; Time; Translating; Translations; United States Department of Veterans Affairs; Universities; Veterans; Veterans Health Administration; Voice; Women' s Health; Work; base; burnout; connected care; coronavirus disease; cost; data resource; design; disability; dissemination strategy; effectiveness evaluation; evidence base; experience; health economics; implementation science; implementation strategy; improved; innovation; insight; interest; operation; programs; prospective; sexual trauma; skills; social health determinants; tool; treatment effect; virtual healthcare

The Center for Policy Evaluation (CPE) will conduct rigorous evaluations supporting the implementation of evidence-based policies and programs in the US Department of Veterans Affairs (VA). We will work with operational partners to conduct evaluations, using both existing administrative data and prospective designs, to provide insights into causal mechanisms. CPE will be organized around 3 core aims (Methods Core, Learning and Translation Core, Operations Core). The Center’s goals are rooted in the belief that VA is a learning health care system. Creating a learning health care system requires objective assessments that provide insights into causal mechanisms and local context. Sometimes operational leaders want answers to questions for which neither a randomized control trial nor a natural experiment can be found. These situations require innovative thinking about study design and expert judgment about the pros and cons of alternative methods. CPE investigators have significant experience in these skills; we have a history of being highly collaborative and innovative in combining qualitative and quantitative methods across a wide range of VA priority areas. CPE represents 30 investigators with expertise in community care, access, virtual care, long term, home-based and palliative care, disparities and social determinants of health (SDoH), delayed care from COVID, suicide and mental health, women's health, employment and health, burnout and staffing, exposures during deployment and spinal cord injuries, homelessness, EHR modernization, primary care, and complex patients. In year 1, we have proposed two evaluations and building a core data resource. The first evaluation examines the link between VBA disability benefits and mental health. This project will provide VA with evidence to guide VBA and VHA policy when it comes to benefits and mental health. This project will be led by Dr. Kritee Gujral with assistance from Drs. Liam Rose and Todd Wagner. The operational partners include OMHSP, ORH and OEI. The second evaluation examines Health Connect, a modernization of the Clinical Contact Centers, to streamline access to care and maximize first- contact resolution. This evaluation will assess the effectiveness of the Health Connect program in improving Veteran access to timely, quality care compared to care as usual prior to implementation. This project will help VA improve access and encourage greater reliance on VA for services. Drs. Diem Tran, Liam Rose, Jaqueline Ferguson, and Anita Vashi will lead this project from CPE. The primary partner is IVC and a secondary partner is the OCC. In year one we will also create core data resources to improve the quality and speed of subsequent evaluations. CPE has a long history of working with VA operational partners including the Office of Integrated Veterans Care, Office of Mental Health and Suicide Prevention, Office of Connected Care, and Office of Primary Care, just to name a few. CPE will be led by Todd Wagner, PhD, David Chan, MD, PhD, and Anita Vashi, MD, MHS, multiple PIs with Dr. Wagner serving as the corresponding PI. Drs. Wagner, Chan and Vashi are all investigators at the Palo Alto Center for Innovation to Implementation (Ci2i). The leadership team has unparalleled experience in conducting rigorous health services and health economic research with VA operational groups. Supporting the leadership team are 27 other VA investigators with diverse content expertise and strong connections across a range of departments and centers at Stanford University.

政策评估中心将进行严格的评估， 在美国退伍军人部实施循证政策和计划 事务部（VA）。我们将与业务伙伴合作，利用现有的 管理数据和前瞻性设计，以提供对因果机制的见解。CPE 将围绕3个核心目标（方法核心，学习和翻译核心， 核心业务）。该中心的目标是植根于这样的信念，即VA是一个学习的医疗保健 系统创建学习型医疗保健系统需要客观的评估， 深入了解因果机制和当地背景。有时候行动领导者希望 随机对照试验和自然实验都不能回答的问题 这些情况需要对研究设计和专家判断进行创新性思考。 各种替代方法的利弊CPE研究人员具有丰富的经验 在这些技能;我们有一个高度合作和创新的历史， 在广泛的VA优先领域的定性和定量方法。CPE代表 30名具有社区护理、访问、虚拟护理、长期、基于家庭的专业知识的研究者 和姑息治疗，差异和健康的社会决定因素（SDoH），从 COVID，自杀和心理健康，妇女健康，就业和健康，倦怠和 人员配备、部署期间暴露和脊髓损伤、无家可归、EHR 现代化，初级保健和复杂的病人。在第一年，我们提出了两个 评估和建立核心数据资源。第一次评价审查了以下方面之间的联系： 残疾福利和心理健康。该项目将为VA提供证据， 在福利和心理健康方面，这是一项长期和长期的政策。该项目将由博士领导。 Kritee Gujral在Liam Rose和托德瓦格纳博士的协助下。业务伙伴 包括OMHSP、ORH和OEI。第二项评价审查了健康连接， 现代化的临床联络中心，以简化获得护理和最大限度地提高第一- 接触分辨率。该评估将评估健康连接计划的有效性 在改善退伍军人获得及时，高质量的护理相比，护理之前， 实施.该项目将帮助退伍军人事务部改善获得服务的机会，并鼓励更多地依赖退伍军人事务部 服务。Diem Tran博士、Liam Rose博士、Jaqueline Ferguson博士和Anita Vashi博士将领导这项工作 CPE的项目。主要伙伴是IVC，次要伙伴是OCC。在第一年 我们还将创建核心数据资源，以提高后续的质量和速度。 评价。CPE与包括难民署在内的VA业务伙伴合作的历史悠久 退伍军人综合护理办公室、心理健康和自杀预防办公室、 互联医疗和初级保健办公室，仅举几例。CPE将由托德领导 瓦格纳博士、大卫Chan医学博士、哲学博士和Anita Vashi医学博士、MHS、多名PI和瓦格纳博士 作为相应的PI。瓦格纳博士、陈博士和瓦希博士都是帕洛阿尔托的调查员 阿尔托创新实施中心（Ci 2 i）。领导团队拥有无与伦比的 与VA一起开展严格的卫生服务和卫生经济研究的经验 业务组。支持领导团队的还有其他27名退伍军人管理局调查员，他们来自不同的领域 内容专业知识和强大的联系，在一系列部门和中心， 斯坦福大学。