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HSR&D Research Career Scientist Award

高铁

基本信息

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
项目类别：
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

项目摘要

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.

这项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