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

背景：医疗保健组织因素影响医疗服务提供者执业和 患者经历护理，并因此对护理质量和实施 循证实践和政策。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 影响和促进医疗保健系统原则的学习。 目标：矢野博士的研究、指导和退伍军人管理局服务的重点是：(1)评估多水平 退伍军人管理局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 提供护理模式；(2)推进系统改善妇女状况所需的科学证据基础 退伍军人的健康和保健；以及(3)通过实施科学加速研究的影响 以及运营/策略合作伙伴、提供商/团队的多层次利益相关者参与方面的进展 退伍军人。 方法：矢野博士是最近更新的退伍军人事务部洛杉矶HSR&D中心的主任/PI，用于研究 医疗创新、实施和政策，女退伍军人医疗保健创建主任 倡议、退伍军人事务部妇女健康研究网络的和平倡议和妇女健康服务/查询的和平倡议 合作评估倡议。她是五个组件创建研究中的两个的PI和共同PI，包括一个 以证据为基础的质量改进(EBQI)方法的整群随机试验 女性退伍军人的需求及国家综合护理差异对女性的影响评估 退伍军人的关怀质量和经验。她的重点是合作、高价值的评估/研究。 在过去的十年里，矢野还领导了一系列来自不同国家退伍军人管理局的运营资助项目 项目办公室。在过去的10年里，她参与了33个项目的私人/联合私人投资，总金额达3900万美元，发表(或 已出版)151篇论文(其中69篇是第一作者或资深作者)，发表/合著超过350篇 科学报告、国家网络研讨会、方法研讨会以及退伍军人事务部内外的简报。在……里面 在过去的10年里，她还指导了近50名独特的职业发展申请者/获奖者、博士后 研究员、研究生和职业生涯中期教师等，在过去三年中有24名导师， 他们都在退伍军人管理局的职业生涯中。她曾在一系列退伍军人事务部HSR&D、QUERI和计划中任职 办公室和非退伍军人事务部科学委员会、董事会和小组，主要专注于研究传播和 实施科学的进步和影响，在过去三个历年中有35个国家角色。矢野博士 因在卫生服务方面的杰出成就获得退伍军人事务部副部长奖 研究(2012)，加州大学洛杉矶分校菲尔丁公共卫生学院布雷斯洛终身成就奖 校友名人堂(2017)，以及美国残疾退伍军人为她颁发的特别认可奖 女性退伍军人研究(2018)，除了被公认为50名对健康有影响的女性之一 美国的CARE(2018年)。 现状：正在进行中，正在审查和准备新的赠款，多名学员正在准备职业奖项， 以及退伍军人事务部内外持续的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 在退伍军人事务部之外，对初级保健和妇女健康产生特别影响，并对执行工作作出贡献 科学。她改变了退伍军人管理局妇女健康研究和护理提供的格局，并推动了 合作研究原则。

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.