HSR&D Research Career Scientist Award

这一研究职业科学家奖将支持克里斯汀·W·哈特曼博士扩大她的科学 研究、指导和服务贡献超出了其他可能的范围，因此相当大 哈特曼博士是退伍军人事务部的高级卫生服务人员，她对退伍军人事务部和高铁与发展部的任务产生了积极的影响 研究人员和实施科学家，从事与卫生系统相关的严谨研究。她在工作 与退伍军人管理局业务合作伙伴密切合作，并在快速翻译研究成果方面取得了巨大成功 付诸实践。作为PI，她的工作主要集中在改善对退伍军人管理局一些最 易受伤害和高风险的退伍军人，生活在退伍军人管理局的社区生活中心(CLCs，即养老院)。 CLC系统每年花费近40亿美元，为经常发生争执的退伍军人提供至关重要的护理 患有多种慢性病，经常被社区疗养院拒绝。然而，CLC在以下方面差异很大 他们提供的护理质量，低质量的护理有时会成为全国头版新闻，吸引人 退伍军人事务部和国会最高层的关注。哈特曼博士的工作组合确定并解决了 这些护理质量上的差距。她在临床和政策方面做出了重大贡献，通过她的两个主要 研究重点：率先测量和调查护理质量，并成为使用 实施科学，以改善护理结果。 哈特曼博士在CLCS的工作产生了巨大的影响。一个例子来自一系列的HSR&D研究 她制定了有效的循证干预措施和实施战略，以使《中图法》 工作人员提高他们的护理质量。基于这项研究的成功，老年医学和延长护理办公室 将由此产生的干预措施推广到全国，并创建了一个全国性的《中图法》质量改进中心。 哈特曼担任联合导演。到目前为止，该中心已经获得了700万美元的资金，每年支持超过7个FTEE。Dr。 哈特曼也在弗吉尼亚州以外的地方传播这些干预措施。她获得了为期5年、价值720万美元的美国国立卫生研究院 社区养老院企业改善养老院睡眠质量的务实临床试验 患有痴呆症的居民。QUERI还资助了哈特曼博士作为培训中心的实施战略，以 启用其在CLC设置之外的使用。这项工作在以下方面取得了有意义和明显的改进 CLC的临床质量结果和国家CLC政策的变化，只是 她的学业。哈特曼博士总共领导了PI、8大笔退伍军人管理局和美国国立卫生研究院的赠款，总额近1500万美元。 哈特曼博士在地方和国家层面做出了重大贡献。她参与了退伍军人事务部和美国国立卫生研究院的拨款 评审小组，在顶级期刊上发表文章，以及广泛的导师，包括VISN 1和HSR&D CDA 获奖者。她被录用到目前的大学，部分原因是为了在助学金提案中提供教师指导。 发展。她是质量改进研究和实施科学方面的热门演讲者。Dr。 哈特曼将利用该奖项的支持来实现以下具体目标。目标1：改善养老院 护理结果的质量，包括在表现不佳的地点。我们几乎不知道如何实现和 持续改善低绩效的CLC。哈特曼博士不仅通过研究解决了这个问题，而且 还通过带头开展跨退伍军人管理局协作。目标2：加强执行工作的传播 长期护理研究中的科学。哈特曼博士将通过以下方式扩大她的方法论贡献 研究和出版，并将与现有的国家团体合作，以满足该领域的迫切需求。目标3： 确定并指导这些领域的早期职业科学家。哈特曼博士将继续为她提供许多指导 她将继续利用自己的专业知识和合作来领导HSR&D的全国努力 招募和支持早期职业科学工作者，包括那些来自代表性不足的群体的人。

This Research Career Scientist award will support Dr. Christine W. Hartmann in expanding her scientific research, mentoring, and service contributions beyond what would be otherwise possible, thereby considerably increasing her positive impact on the missions of VA and HSR&D. Dr. Hartmann is a senior VA health services researcher and implementation scientist conducting rigorous, health system-relevant research. She works closely with VA operational partners and has had tremendous success in rapidly translating research findings into practice. The portfolio of her work as PI concentrates primarily on improving care for some of VA's most vulnerable and high-risk Veterans, those living in VA's Community Living Centers (CLCs, i.e., nursing homes). At an annual cost of almost $4 billion, the CLC system provides vital care for Veterans who frequently contend with multiple chronic conditions and are often rejected by community nursing homes. Yet CLCs vary greatly in the quality of care they provide, with poor quality care sometimes making front-page national news, drawing attention at the highest levels of VA and Congress. Dr. Hartmann's portfolio of work identifies and addresses these gaps in quality of care. She has made substantial clinical and policy contributions through her two main research foci: pioneering the measurement and investigation of quality of care and being an exemplar of using implementation science to improve care outcomes. Dr. Hartmann's work in CLCs has had enormous impact. One example is from a line of HSR&D studies in which she developed effective, evidence-based interventions and an implementation strategy to enable CLC staff to improve their quality of care. Based on the studies' success, the Office of Geriatrics and Extended Care rolled the resulting interventions out nationally and created a national CLC quality improvement center that Dr. Hartmann co-directs. This center has $7 million in funding to date and yearly support for over 7 FTEE. Dr. Hartmann is also spreading these interventions outside VA. She was awarded a 5-year, $7.2 million NIH pragmatic clinical trial in community nursing home corporations to improve sleep outcomes for nursing home residents with dementia. QUERI has also funded Dr. Hartmann's implementation strategy as a Training Hub to enable its use outside the CLC setting. This work has led to meaningful and demonstrable improvements in CLCs' clinical quality outcomes and changes to national CLC policy and is only one example of the impact of her studies. In total, Dr. Hartmann has led, as PI, 8 large VA and NIH grants totaling almost $15 million. Dr. Hartmann contributes significantly at the local and national levels. She participates on VA and NIH grant review panels, publishes in top journals, and mentors extensively, including VISN 1 and HSR&D CDA awardees. She was recruited to her current university in part to provide faculty mentoring in grant proposal development. She is a sought-after speaker on quality improvement research and implementation science. Dr. Hartmann will use this award's support to achieve the following specific aims. Aim 1: Improve nursing home quality of care outcomes, including at low performing sites. We know little about how to achieve and sustain improvement in low performing CLCs. Dr. Hartmann address this gap not only through research but also through spearheading cross-VA collaboration. Aim 2: Enhancing the spread of implementation science in long-term care research. Dr. Hartmann will expand her methodologic contributions through research and publication and will work with existing national groups to meet the field's pressing needs. Aim 3: Identify and mentor early career scientists in these areas. Dr. Hartmann will maintain her many mentoring activities and will continue leveraging her own expertise and collaborations to lead HSR&D's national efforts to recruit and support early career scienists, including those from underrepresented groups.