HSR&D Senior Research Career Scientist Award

项目总结/摘要 作为HSR&D中心的VA核心研究员，以改善退伍军人参与护理和 证据综合计划协调中心设在波特兰VA医疗保健系统，我目前 研究活动包括学术研究，培训新兴科学家，领导和参与 为VA研究和临床项目提供服务。我目前的工作是创新和高度相关的一个 最具活力和变革的时期，广泛的医疗保健系统，特别是退伍军人事务部医疗保健。 我的学术研究活动的首要目标是了解和确定如何提高 慢性病管理，包括可及性、质量和经济成果。我直接研究 护理协调模式在改善高风险/高需求慢性病管理方面的潜力 退伍军人，并抵消跨VA和非VA健康的多系统医疗保健使用的任何不良影响 系统.我过去的研究集中在退伍军人与慢性肾脏疾病和癌症导致我目前的 重点关注高风险/高需求退伍军人，包括正在进行的关于从COVID-19中康复的退伍军人的研究 病我们的HSR&D赠款待定“高风险患者的护理协调和成果：建立 实施的证据”，旨在确定当前的护理协调流程和数据资源 有必要进行旨在改善患者和提供者体验的VA实施研究， VA和非VA设置的健康结果。该项目还包括与弗吉尼亚州办事处的伙伴关系， 社区护理，护理，社会工作和其他VA办公室。积极传播我的研究成果 通过在利益攸关方会议和专业协会会议上通报情况，得出结论。我将继续 制作我自己研究的同行评审出版物，并寻求编辑期刊的新机会 随着更多关于实施科学的证据的增长和产生结果，对护理协调进行了补充。 我的研究培训活动旨在培养下一代退伍军人管理局卫生服务研究人员 重点是方法、测量和应用卫生数据资源方面的技能发展。我目前 指导四名退伍军人事务部早期职业临床医生科学家和一名博士博士后研究员。作为一个研究生项目 在我的大学角色中，我是健康管理和政策主任，我将继续指导MPH和博士 候选人，并让他们意识到弗吉尼亚州提供的机会在HSR&D研究的职业生涯。此外，随着 俄勒冈州州立大学（OSU）公共卫生与人文科学学院，OSU中心 基因组研究和生物计算，和俄勒冈州健康与科学大学，以及一个新的 HSR&D高级研究职业科学家奖，我将处于独特的地位，开发一种新的培训 利用这些多机构关系的计划。我的愿景是开发一个新的培训计划， 数据科学促进更好的健康，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 实践和贡献的VA研究计划。我将继续参与国家退伍军人事务部 努力为我们的研究提供护理协调实践的信息。我的贡献 研究计划将包括继续支持我们的退伍军人参与工作，并参与同行 审查活动和咨询委员会的关键VA研究计划。 作为一名高级研究职业科学家的奖项将为我提供继续工作的机会， 丰富这些重要的研究活动，进行学术和有影响力的研究，培养下一个 培养科学家，通过领导和服务提高VA研究的可见度， 最终受益于退伍军人事务部卫生系统服务的退伍军人。

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.