HSR&D Research Career Scientist Award

高铁

• 批准号: 10248049
• 负责人: CHRISTINE W HARTMANN
• 金额: --
• 依托单位: EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-10-01 至 2026-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10248049
• 关键词: Address; Adopted; Adoption; American; Applications Grants; Area; Attention; Award; Caring; Certification; Clinical; Collaborations; Communities; Congresses; Dementia; Development; Evidence based intervention; Face; Foundations; Funding; Geriatrics; Goals; Grant; Grant Review; Health; Health Services; Health Services Research; Health system; Home Nursing Care; Hybrids; Interest Group; Intervention; Investigation; Journals; Lead; Long-Term Care; Massachusetts; Measurement; Measures; Mentors; Mentorship; Methodology; Methods; Mission; Modeling; Nursing Homes; Outcome; Peer Review Grants; Policies; Positioning Attribute; Pragmatic clinical trial; Publications; Publishing; Quality of Care; Recording of previous events; Research; Research Personnel; Research Support; Resources; Role; Scientist; Services; Site; Sleep; Societies; Specialist; Structure; System; Techniques; Training; Translating; Underrepresented Populations; United States National Institutes of Health; Universities; Veterans; Vulnerable Populations; Work; base; care outcomes; career; career development; clinical care; clinical center; clinical practice; combat; community living; cost; evidence base; faculty mentor; high risk; high risk population; implementation framework; implementation intervention; implementation science; implementation strategy; implementation study; improved; improved outcome; medical specialties; military veteran; multiple chronic conditions; neglect; news; person centered; professor; recruit; response; safety net; success; tool; uptake

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.

该研究职业科学家奖将支持 Christine W. Hartmann 博士拓展她的科学研究 研究、指导和服务贡献超出了其他可能的范围，从而大大提高了 增加她对 VA 和 HSR&D 使命的积极影响。 Hartmann 博士是退伍军人事务部高级卫生服务人员 研究员和实施科学家进行严格的卫生系统相关研究。她工作 与 VA 运营合作伙伴密切合作，在快速转化研究成果方面取得了巨大成功 付诸实践。作为 PI，她的工作主要集中于改善对退伍军人事务部最重要的一些人的护理 弱势和高风险退伍军人，即居住在退伍军人管理局社区生活中心（CLC，即疗养院）的退伍军人。 CLC 系统每年花费近 40 亿美元，为经常参加战斗的退伍军人提供重要护理 患有多种慢性病，经常被社区疗养院拒绝。然而，CLC 的差异很大 他们提供的护理质量，质量差的护理有时会成为全国新闻的头版，吸引 VA 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 这些护理质量方面的差距。她通过她的两个主要领域做出了巨大的临床和政策贡献 研究重点：开创护理质量的测量和调查，并成为使用护理质量的典范 实施科学以改善护理结果。 Hartmann 博士在 CLC 方面的工作产生了巨大的影响。一个例子来自一系列 HSR&D 研究 她制定了有效的、基于证据的干预措施和实施策略，使 CLC 工作人员提高护理质量。基于研究的成功，老年病学和延伸护理办公室 在全国范围内推广由此产生的干预措施，并创建了一个国家 CLC 质量改进中心，Dr. 哈特曼联合导演。该中心迄今为止已获得 700 万美元的资金，每年为超过 7 名 FTEE 提供支持。博士。 哈特曼还将这些干预措施推广到退伍军人事务部以外的地区。她获得了 5 年 720 万美元的 NIH 资助 社区疗养院企业改善疗养院睡眠结果的务实临床试验 患有痴呆症的居民。 QUERI 还资助 Hartmann 博士的实施战略作为培训中心 启用它在 CLC 设置之外的使用。这项工作带来了有意义且明显的改进 CLC 的临床质量结果和国家 CLC 政策的变化只是影响的一个例子 她的学业。作为 PI，Hartmann 博士总共领导了 VA 和 NIH 的 8 项大型资助，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 VA 和 NIH 资助 评审小组成员，在顶级期刊上发表文章，并广泛提供指导，包括 VISN 1 和 HSR&D CDA 获奖者。她被聘入当前的大学，部分原因是为了在拨款提案中提供教师指导 发展。她是质量改进研究和实施科学领域广受欢迎的演讲者。博士。 哈特曼将利用该奖项的支持来实现以下具体目标。目标1：改善疗养院 护理结果的质量，包括在绩效不佳的场所。我们对如何实现和实现知之甚少 持续改进低绩效 CLC。哈特曼博士不仅通过研究来解决这一差距，而且 还通过带头跨 VA 合作。目标 2：扩大实施范围 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学贡献 研究和出版，并将与现有的国家团体合作，以满足该领域的紧迫需求。目标 3： 识别并指导这些领域的早期职业科学家。哈特曼博士将继续提供她的许多指导 活动并将继续利用她自己的专业知识和合作来领导 HSR&D 的国家努力 招募和支持早期职业科学家，包括来自代表性不足群体的科学家。