HSR&D Senior Research Career Scientist Award

项目摘要/摘要 作为高铁研发中心的退伍军人核心调查员，提高退伍军人在护理和 证据合成计划协调中心设在波特兰VA医疗系统，我的当前 研究活动包括学术研究、培训新兴科学家以及领导和参与 为退伍军人管理局的研究和临床项目提供服务。我目前的工作是创新的，与 医疗保健系统最具活力和变革性的时期，尤其是退伍军人管理局医疗保健。 我的学术研究活动的首要目标是了解和确定改进的方法 慢性病管理，包括获取、质量和经济结果。我负责研究 护理协调模式的潜力，以改进针对高风险/高需求的慢性病管理 并抵消在退伍军人健康和非退伍军人健康中使用多系统医疗保健的任何不利影响 系统。我过去的研究重点是患有慢性肾脏疾病和癌症的退伍军人，这导致了我现在的情况 关注高风险/高需求退伍军人，包括正在进行的退伍军人新冠肺炎康复研究 生病了。我们的HSR&D拨款正在等待“高危患者的护理协调和结果：建立 执行证据“，旨在确定目前的护理协调进程和数据资源 有必要进行旨在改善患者和提供商体验的VA实施研究，并 退伍军人管理局和非退伍军人管理局的健康结果。该项目还包括与退伍军人事务部的伙伴关系 社区关怀、护理、社会工作和其他退伍军人事务部。积极主动地传播我的研究 调查结果通过在利益攸关方会议和专业协会会议上进行简报来完成。我会继续 撰写我自己研究的同行评议出版物，并寻找编辑期刊的新机会 随着更多关于实施科学的证据的增长和结果的产生，补充护理协调。 我的研究培训活动旨在培养下一代退伍军人健康服务研究人员 专注于方法、测量和应用健康数据资源方面的技能发展。我现在是 指导四名退伍军人事务部早期临床医生科学家和一名博士后研究员。作为研究生课程 健康管理和政策主任在我的大学角色中，我现在是，并将继续指导公共卫生硕士和博士 并让他们意识到退伍军人管理局在高铁和研发研究职业生涯中提供的机会。此外，有了 俄勒冈州立大学(OSU)公共卫生与人文科学学院OSU中心的教师角色 和俄勒冈健康与科学大学，以及一个新的 HSR&D高级研究职业科学家奖，我将以独特的地位开发新的培训 该计划利用了这些多机构关系。我的愿景是制定一个新的培训计划 促进健康的数据科学，包括支持护理协调过程和结果的数据科学 测量和分析。 我的研究服务活动的目标是分享我的研究专业知识，为临床政策提供信息 和实践，并为退伍军人管理局的研究计划做出贡献。我将继续参与国家退伍军人管理局的工作 在我们研究的同时，努力为护理协调实践的实施提供信息。我对以下方面的贡献 研究计划将包括继续支持我们的资深员工参与努力，并参与Peer 审查重要退伍军人研究项目的活动和顾问委员会。 作为高级研究职业科学家的奖项将为我提供继续和 丰富这些重要的研究活动，开展学术和有影响力的研究，培训下一个 一代科学家，并通过领导和服务提高退伍军人研究的知名度，以及 最终使退伍军人医疗系统服务的退伍军人受益。

Project Summary/Abstract As a VA Core Investigator at the HSR&D Center to Improve Veteran Involvement in Care and the Evidence Synthesis Program Coordinating Center based at the Portland VA Healthcare System, my current research activities include Scholarly Research, Training emerging scientists, and leading and participating in Service to VA research and clinical programs. My current work is innovative and highly relevant for one of the most dynamic and transformative periods for healthcare systems broadly, and for VA healthcare especially. The overarching goal of my Scholarly Research activities is to understand and identify ways to improve chronic disease management, including access, quality, and economic outcomes. I direct research on the potential for care coordination models to improve chronic disease management for high risk/high need Veterans and to offset any adverse effects of multi-system health care use across the VA and non-VA health systems. My past research focused on Veterans with chronic kidney disease and cancer led to my current focus on high risk/high need Veterans, including ongoing research on Veterans recovering from COVID-19 illness. Our HSR&D grant pending “Care Coordination and Outcomes for High Risk Patients: Building the Evidence for Implementation”, seeks to identify the current care coordination processes and data resources necessary to conduct a VA implementation study aimed at improving patient and provider experience and health outcomes across VA and non-VA settings. The project also includes partnership with the VA Offices of Community Care, Nursing, and Social Work and other VA offices. Proactive dissemination of my research findings is done through briefings at stakeholder meetings and professional society meetings. I will continue to produce peer reviewed publications of my own research and seek a new opportunity to edit a journal supplement on care coordination as more evidence on implementation science grows and yields results. My research Training activities aim to develop the next generation of VA health services researchers with focus on skill development in methods, measurement, and applying health data resources. I am currently mentoring four VA early career clinician scientists and one PhD postdoctoral fellow. As a graduate program director in Health Management and Policy in my university role, I am and will continue to mentor MPH and PhD candidates and make them aware of the opportunities the VA offers in HSR&D research careers. Further, with faculty roles in Oregon State University (OSU) College of Public Health and Human Sciences, the OSU Center for Genome Research and Biocomputing, and Oregon Health and Science University, together with a new HSR&D Senior Research Career Scientist award, I will be uniquely positioned to develop a new training program that draws on these multi-institutional relationships. My vision is to develop a new training program in Data Science for Better Health, including data science to support care coordination process and outcome measurement and analytics. The goals of my research Service activities are to share my research expertise to inform clinical policy and practice and to contribute to the VA research programs. I will continue involvement in the national VA efforts to inform implementation of care coordination practice alongside our research. My contributions to research programs will include continued support of our Veteran engagement efforts, and participation in peer review activities and on advisory boards for critical VA research programs. An award as a Senior Research Career Scientist would provide me with the opportunity to continue and enrich these important research activities in conducting scholarly and impactful research, training the next generation of scientists, and enhancing the visibility of VA research through leadership and service, and ultimately benefiting the Veterans served by VA health systems.