Evidence-based Policy Impact Center (EPIC) QUERI

循证政策影响中心 (EPIC) QUERI

• 批准号: 10535390
• 负责人: Anashua RANI Elwy
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 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/10535390
• 关键词: Address; Adopted; Adoption; Area; Attention; Budgets; COVID-19; Caring; Cellular Phone; Communities; Competence; Consultations; Data; Demography; Effectiveness; Electronic Health Record; Engineering; Ensure; Ethnography; Evaluation; Evidence based practice; Federal Government; Foundations; Foxes; Funding; Government; Government Agencies; Grant; Health Services Accessibility; Health system; Healthcare; Homelessness; Informatics; Investments; Knowledge; Laws; Leadership; Learning; Logic; Maintenance; Mental Health; Mentors; Methodology; Methods; Modeling; Modernization; Occupations; Office Management; Outcome; Performance; Personnel Management; Policies; Policy Analysis; Proctor framework; Program Development; Program Evaluation; Psychometrics; Qi; Quality of life; Randomized; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Personnel; Science; Suicide prevention; Surveys; Training; Trust; United States Department of Veterans Affairs; Universities; Veterans; Veterans Health Administration; Workforce Development; comparison group; data to knowledge; design; diversity and equity; evidence base; experience; health economics; implementation barriers; implementation evaluation; implementation outcomes; implementation science; implementation strategy; insight; knowledge translation; operation; outreach; patient safety; primary outcome; programs; recruit; resilience; response; social health determinants; telehealth; virtual healthcare

The Evidence-based Policy Impact Center (EPIC) QUERI, consisting of experienced QUERI Program, Partnered Implementation Initiative, Partnered Evaluation Initiative, Rapid Response Team, and HSR&D COIN and CORE leaders, is poised to address a number of wide-ranging VA policy and evaluation priorities in response to the Foundations for Evidence-based Policymaking Act of 2018 (Evidence Act). Our proposal identifies four priority subject matter areas and two evaluation priorities for immediate attention: 1) suicide prevention initiatives for Veterans and transitioning servicemembers, and 2) effectiveness and implementation of programs to eliminate homelessness among Veterans. Since 2019, VA has taken numerous steps to become a High Reliability Organization (HRO). However, it is not yet clear whether the programs implemented across the VA to address suicide prevention and homelessness, among other priority areas, include HRO principles, such as sensitivity to operations, appreciating the complexity of healthcare, looking for opportunities for improvement, valuing insights from experts, and practicing resilience. Building on Learning Health System competencies of scientific evidence standards, methods, informatics, improvement and implementation science, and engagement with leadership, EPIC QUERI has developed robust evaluation plans to immediately examine national suicide prevention and homelessness initiatives. In addition to strengths in operations, methods, and knowledge translation, EPIC QUERI brings a unique perspective to the Evidence Act by creating 1) a workforce development core building on Office of Personnel Management evaluation competencies, and 2) a diversity, equity, and inclusion initiative with local universities to create a workforce development pipeline. Our workforce development core will design, deliver, and evaluate a professional workforce development program that focuses on providing mentored VA, QUERI, QI, and evaluation experience to master’s level research staff; and recruit, retain, and mentor a range of diverse, master’s-level staff with on the job evaluation experience with incoming projects for the EPIC QUERI. Guided by the QUERI Implementation Roadmap and engaging closely with the Office of Mental Health and Suicide Prevention (OMHSP) and the Homeless Programs Office (HPO)/National Center on Homelessness among Veterans (NCHAV), our proposed evaluations will examine the data to knowledge (pre-implementation), knowledge to performance (implementation), and performance to data (sustainment) capacity of Public Law 116-171, Section 201 Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program and the HPO iPad and iPhone outreach to homeless Veterans during COVID-19. Each evaluation’s specific learning agenda and evaluation question will be unique; however, our overall specific aims are as follows: Aim 1: Identify pre- implementation barriers to adopting evidence-based practices (EBPs), policies, and implementation strategies across VA; Aim 2: Evaluate the implementation of EBPs, policies, and implementation strategies; and Aim 3: Ensure sustainment of our EBPs and policies through ongoing program planning and stakeholder engagement with operational partners. Each evaluation begins with a logic model, incorporating RE-AIM and Proctor’s Implementation Outcomes Framework. Our Methods Core consists of SMEs in health system engineering, quality improvement, implementation science, policy analysis, demography, health economics, psychometrics and survey design, and rapid ethnographic and qualitative analysis. Primary outcomes will focus on pre- implementation (acceptability, appropriateness, feasibility), implementation (reach, effectiveness, adoption, and implementation metrics, such as number of facilities where implementation occurred, number of staff trained and Veterans served, and implementation strategies used, as identified in the QUERI ACTION Framework), and sustainment (maintenance metrics). These outcomes will assist VA leadership in understanding the value of implementation and quality improvement investments to inform program and policy decisions.

循证政策影响中心（EPIC）QUERI，由经验丰富的QUERI项目组成， 合作实施倡议、合作评估倡议、快速反应小组和HSR&D COIN 和核心领导人，准备解决一系列广泛的VA政策和评估优先事项， 2018年《基于证据的决策法》（Evidence Act）。我们的建议 确定了四个优先主题领域和两个需要立即关注的评价优先事项：1）自杀 退伍军人和过渡服务人员的预防措施，以及2）有效性和实施 消除退伍军人无家可归现象的计划。自2019年以来，VA采取了许多措施， 成为高可靠性组织（HRO）。不过，目前尚不清楚这些方案是否得到实施， 在弗吉尼亚州，除其他优先领域外，还包括人权办公室， 原则，例如对操作的敏感性，理解医疗保健的复杂性，寻找机会 改进，重视专家的见解，并练习弹性。建立学习型健康体系 科学证据标准、方法、信息学、改进和实施的能力 科学，并与领导的参与，EPIC QUERI制定了强大的评估计划，立即 研究国家预防自杀和无家可归的举措。除了业务优势外， 方法和知识翻译，EPIC QUERI为证据法带来了独特的视角， （1）在人事管理办公室评价的基础上建立工作人员队伍发展核心 能力，以及2）与当地大学一起开展多样性，公平和包容性倡议，以创造劳动力 发展管道。我们的劳动力发展核心将设计，交付和评估专业人员 劳动力发展计划，重点是提供指导性的VA、QUERI、QI和评估 经验，以硕士水平的研究人员;和招聘，保留，并指导一系列不同的，硕士水平 具有EPIC QUERI项目评估经验的员工。引导者， 实施路线图并与心理健康和自杀预防办公室密切合作 （OMHSP）和无家可归者方案办公室（HPO）/退伍军人无家可归问题国家中心 （NCHAV），我们提议的评估将检查数据到知识（实施前），知识到 公法116-171的性能（实施）和性能到数据（维持）能力， 第201节上士帕克戈登福克斯自杀预防补助金计划和HPO iPad和 iPhone在COVID-19期间向无家可归的退伍军人伸出援手。每次评价的具体学习议程和 评价问题将是独特的;然而，我们的总体具体目标如下：目标1：确定前， 采用循证实践、政策和实施战略的实施障碍 目标2：评估预算外方案、政策和实施战略的实施情况;目标3： 通过持续的计划规划和利益相关者的参与，确保我们的EBP和政策的持续性 业务合作伙伴。每个评估都从一个逻辑模型开始，该模型结合了RE-AIM和普罗克特的 执行成果框架。我们的方法核心由卫生系统工程的中小企业组成， 质量改进，实施科学，政策分析，人口统计学，卫生经济学，心理测量学 和调查设计，以及快速人种学和定性分析。主要成果将集中在预- 实施（可接受性、适当性、可行性）、实施（范围、有效性、采用率和 实施衡量标准，如实施的设施数量、接受培训的工作人员数量 和退伍军人服务，并使用实施战略，如QUERI行动框架中所确定的）， 维护（Maintenance Metrics）。这些成果将有助于VA领导层理解 实施和质量改进投资，为计划和政策决策提供信息。