HSR&D Merit Review Research Career Scientist (RCS) Award (IK6)

背景：医疗保健组织因素影响提供者的执业环境， 患者体验护理，因此，对护理质量和 基于证据的实践和政策。整合促进质量的组织因素的知识 先进的实施战略和多层次的利益相关者参与可能会增加研究 影响和促进学习医疗保健系统的原则。 目的：矢野博士的研究、指导和VA服务集中在：（1）评估多层次 VA护理质量和患者体验的决定因素，重点是初级保健和妇女健康 护理提供模式;（2）推进系统改善妇女健康所需的科学证据基础 退伍军人的健康和医疗保健;（3）通过实施科学加速研究的影响 以及业务/政策伙伴、提供者/团队的多层次利益攸关方参与的进展， 老兵 方法：Yano博士是最近更新的VA洛杉矶HSR&D研究中心的主任/PI。 医疗保健创新，实施和政策，妇女退伍军人医疗保健主任创建 弗吉尼亚州妇女健康研究网络PI和妇女健康服务/QUERI PI 伙伴评价倡议。她是五项CREATE研究中两项的PI和Co-PI，其中包括一项 一项基于证据的质量改进（EBQI）方法的群集随机试验，用于定制PACT，以满足 女退伍军人的需要和评价各国在全面照顾妇女方面的差异的影响 退伍军人的护理质量和经验。她强调合作，高价值的评估/研究，博士。 在过去的十年里，矢野还领导了一系列来自不同国家VA的行动资助项目。 方案办公室。在过去的10年里，她一直是33个项目的PI/Co-PI，总额为3900万美元，出版（或 已出版）151篇论文（其中69篇是第一作者或高级作者），发表/合著超过350篇 科学报告、国家网络研讨会、方法讲习班和VA内外的简报。在 在过去的10年里，她还指导了近50名独特的职业发展申请人/获奖者，博士后， 研究员、研究生和在职教师等，在过去三年中有24名学员， 他们都在退伍军人事务部工作她曾在VA HSR&D、QUERI和Program等各种项目中任职 办公室和非VA科学委员会，董事会和小组，主要集中在研究传播和 在过去三个日历年中，有35个国家发挥了作用。矢野博士 获得退伍军人事务部卫生局副局长卫生服务杰出成就奖 研究（2012年），在公共卫生的加州大学洛杉矶分校菲尔丁学院的布雷斯洛终身成就奖 校友名人堂（2017年），并从残疾美国退伍军人为她特别表彰奖 女性退伍军人的研究（2018年），除了被公认为50名妇女在健康的影响之一 在美国的护理（2018）。 现状：正在进行，新的赠款正在审查和准备中，多名学员正在准备职业奖励， 以及VA内外的持续和新的国家服务角色。 影响：矢野博士的贡献继续为循证实践和政策提供信息， 在退伍军人事务部以外，特别是在初级保健和妇女健康方面的影响以及对执行的贡献 科学她改变了退伍军人管理局妇女健康研究和护理服务的格局， 合作的研究原则。

Background: Healthcare organizational factors influence the environment within which providers practice and patients experience care, and as a result, have substantial influence on quality of care and implementation of evidence-based practice and policy. Integration of knowledge of the organizational factors that promote quality with advanced implementation strategies and multilevel stakeholder engagement may increase research impacts and promote learning healthcare system principles. Objectives: Dr. Yano's research, mentorship and VA service have focused on: (1) evaluating multilevel determinants of VA care quality and patient experience, with an emphasis on primary care and women's health care delivery models; (2) advancing the scientific evidence base needed to systematically improve women Veterans' health and health care; and (3) accelerating impacts of research through implementation science and advances in multilevel stakeholder engagement of operations/policy partners, providers/teams, and Veterans. Methods: Dr. Yano is Director/PI of the recently renewed VA Los Angeles HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, Director of the Women Veterans' Healthcare CREATE Initiative, PI of the VA Women's Health Research Network, and PI of the Women's Health Services/QUERI Partnered Evaluation Initiative. She is PI and Co-PI of two of five component CREATE studies, including a cluster randomized trial of an evidence-based quality improvement (EBQI) approach to tailoring PACT to meet women Veterans' needs and an evaluation of impacts of national variations in comprehensive care on women Veterans' care quality and experience. With her emphasis on partnered, high-value evaluation/research, Dr. Yano has also led an array of operations-funded projects over the past decade from different national VA program offices. In the past 10 years, she has been PI/Co-PI of 33 projects totaling $39 million, published (or has in press) 151 papers (69 of which were first or senior authored), and delivered/coauthored over 350 scientific presentations, national cyberseminars, methods workshops, and briefings within and outside VA. In the past 10 years, she also mentored nearly 50 unique career development applicants/awardees, postdoctoral fellows, graduate students, and mid-career faculty, among others, with 24 mentees over the past three years, all of whom are on VA career tracks. She has served on a wide array of VA HSR&D, QUERI, and Program Office and non-VA scientific committees, boards, and panels, focused chiefly on research dissemination and implementation science advances and impacts, with 35 national roles in the last three calendar years. Dr. Yano received the VA Under Secretary for Health Award for Outstanding Accomplishment in Health Services Research (2012), the Breslow Lifetime Achievement Award at the UCLA Fielding School of Public Health Alumni Hall of Fame (2017), and a Special Recognition Award from Disabled American Veterans for her women Veterans' research (2018), in addition to being recognized as one of 50 Women of Impact in Health Care in the U.S. (2018). Status: Ongoing, with new grants under review and in preparation, multiple mentees preparing career awards, and continuing and new national service roles within and outside VA. Impact: Dr. Yano's contributions have continued to inform evidence-based practice and policy within and outside the VA, with particular impacts in primary care and women's health and contributions to implementation science. She has changed the landscape of VA women's health research and care delivery, and advanced partnered research tenets.