Seattle-Denver Center of Innovation for Veteran-Centered and Value Driven Care

描述(由申请人提供)： 背景和理论基础：以退伍军人为中心和价值驱动的多机构创新中心(COIN)位于退伍军人普吉特湾医疗保健系统和东科罗拉多州医疗保健系统。我们的多机构中心代表着十多年来实质性合作的高潮，这些合作对退伍军人健康和退伍军人医疗保健产生了重要影响。我们的硬币的使命是进行高质量的医疗服务研究，促进以退伍军人为中心和价值驱动的护理，产生和传播有助于退伍军人福祉的知识，与退伍军人政策和运营领导人合作，将研究成果应用于临床护理，并培训下一代医疗服务研究人员和领导者。目标：该中心的总体目标是改善以退伍军人为中心和价值驱动的护理服务的交付。为了实现这些目标，该中心将在两个高度集中的领域进行研究，并开发另外两个新兴研究重点，针对我们的研究重点培训初级科学家，与退伍军人事务部内外的杰出研究人员合作，并与运营领导者合作，将我们的研究产品转化为临床实践。方法：我们的研究计划包括两个主要的和两个新兴的重点领域。这两个主要研究重点将：v通过改善复杂慢性病患者在社区和医疗保健环境中的患者体验来促进以退伍军人为中心的护理v推进为患有复杂慢性病的退伍军人提供最高质量医疗服务的科学以最低的经济负担提供我们新出现的研究重点：v解决在社区和医疗保健环境中提供专业护理的障碍v评估筛查研究对患者体验的影响以及这些研究对退伍军人管理局的价值此外，我们将整合我们的职业发展和我们的跨中心合作，包括与Kaiser Permanente和Group Health Research的合作，进入我们的研究重点领域，并与运营领导者合作，将我们的研究转化为临床实践。此外，我们将协调和利用这两个VA 和非退伍军人事务部资源，以支持我们的调查人员、受训人员和工作人员的协作和富有成效的环境。研究结果：从2009年到2012年，我们在西雅图和丹佛的联合研究人员具有出色的工作效率，包括资助115个项目，每年创造约2000万美元的运营收入，并发表550篇手稿。在此期间，我们的培训计划已经培训了31名博士后研究员和10名退伍军人和非退伍军人职业发展奖获得者。影响：以退伍军人为中心和价值驱动的医疗保健硬币中的研究人员拥有悠久而富有成效的研究历史，这些研究对退伍军人的健康和退伍军人医疗保健产生了可衡量的影响。该战略计划集中了我们的资源和专业知识，以继续产生有利于退伍军人和退伍军人医疗保健的研究产品。

DESCRIPTION (provided by applicant): Background and Rationale: The multi-institutional Center of Innovation (COIN) for Veteran-Centered and Value-Driven Care is located at the VA Puget Sound Health Care System and the Eastern Colorado Health Care System. Our Multi-Institutional Center represents the culmination of more than a decade of substantive collaboration leading to important impacts on Veteran health and VA healthcare. The mission of our COIN is to conduct high quality health services research that promotes Veteran-centered and value-driven care, generate and disseminate knowledge that contributes to the well-being of Veterans, work collaboratively with VA policy and operational leaders to implement research findings into clinical care, and train the next generation of health services researchers and leaders. Objectives: The overall objectives of the Center is to improve delivery of Veteran-centered and value-driven care. To achieve these objectives, the Center will conduct research in two highly focused areas and develop two additional emerging research foci, train junior scientists toward our research foci, collaborate with outstanding researchers within and outside of VA and work with operational leaders to translate our research products into clinical practice. Methods: Our research plans include two primary and two emerging focus areas. These two primary research foci will: v Promote Veteran-centered care by improving the patient experience across community and healthcare settings for patients with complex chronic conditions v Advance the science of providing Veterans with complex chronic conditions the highest quality medical care at the lowest financial burden Our emerging research foci will: v Address barriers to delivery of specialty care across community and healthcare settings v Assess the effect of screening studies on patient experiences and the value of these studies to VA In addition, we will integrate our career development, and our cross center collaborations, including with Kaiser Permanente and Group Health Research, into our research focus areas and work with operational leaders to translate our research into clinical practice. In addition, we will coordinate and leverage both VA and non-VA resources to support a collaborative and productive environment for our investigators, trainees and staff. Findings: From 2009-2012, our combined researchers in Seattle and Denver have had outstanding productivity including funding 115 projects, generating approximately $20 million a year in operating revenue and publishing 550 manuscripts. During this period, our training program has trained 31 post-doctoral fellows and 10 VA and non-VA career development awardees. Impact: The Investigators housed within the COIN for Veteran-Centered and Value-Driven Care have a long and productive history of research that has led to measurable impacts on Veterans' health and VA healthcare. The strategic plan focuses our resources and expertise to continue to generate research products that benefit Veterans and VA healthcare.