HSR&D Research Career Scientist Award

作为一名社会医学科学家、卫生服务研究员和实施科学家，我有20多年的时间 有丰富的经验，并一直获得超过1,300万美元的退伍军人事务部资助，作为私人助理或联合私人助理领导复杂和 在以下方面进行有影响力的研究：1)健康/医疗保健的地理相关性；2)患者安全；3)互补 和综合健康(CIH)治疗的有效性和实施。我使用先进的方法，如多个 层级建模、地理空间技术、自然语言处理和实用试验。我的CIH研究 在过去的十年里，我在退伍军人事务部内外的国内和国际地位得到了巩固。例如， NIH认为我是国际上为数不多的处于实施和CIH交汇点的人之一。CIH是 这是退伍军人管理局“整体健康”的关键组成部分，也是退伍军人管理局许多优先事项的一部分。我的工作经常被用来提供信息 并在很大程度上影响了全国退伍军人管理局的医疗保健。因此，我获得了2019年HSR&D健康 服务影响力奖。 我目前是两个主要研究和评估计划的PI，总金额近900万美元，其中一个是中心 有9个项目。这十个目前的研究和项目主要来源于我的五个最重要的研究之一。 由此产生的论文《医疗保健系统在实施互补性和 综合健康…“是2019年CIH领先期刊《整合期刊》中被引用次数第三多的论文 和补充医学(JICM)。退伍军人事务部以患者为中心的护理办公室(OPCC&CT，退伍军人事务部指导 CIH/整体健康政策)在制定政策时经常使用它，将其称为他们的 《圣经》。我目前与史蒂夫·泽利阿特博士(弗吉尼亚州普吉特湾的Steve Zeliadt博士)共同参与的“方法”试验是一项 HSR&D值得一项为期六年、耗资430万美元的务实试验。这项备受瞩目的研究包括四个人中的九个人 VAS将在有史以来最大的CIH样本中纵向检查CIH疗法的有效性 受助者(5,600+)，并与OPCC和CT合作进行。其他九个项目将阻止 来自2019年关键论文的是补充和综合健康评估中心(CIHEC)的一部分， 我就是它的圆周率。CIHEC是由OPCC和CT共同资助的大型QUERI合作评估倡议，用于 六年(2017年供资，每两年续签一次，迄今为350万美元)。作为CIHEC的负责人，我有 监督9个虚拟助理的22个协管员和工作人员执行9个CIH项目。所有工作都是通过与 OPCC和CT帮助指导他们的国家战略，支持循证的CIH实施，并应对 国会。他们的文件和报告一直是国会议员简报的主题，国会 委员会和退伍军人管理局领导层，并已在向VACO分发的ORD和HSR&D出版物中进行专题介绍。 在过去的三年里，我发表了35篇同行评议的论文，其中60%是第一作者或资深作者，77%是高级作者 高质量期刊，h指数为29，i10指数为51。我最重要的一篇关于CIH的论文是 在2019年的白皮书和我最重要的患者安全白皮书上，我认为哪些背景特征可能很重要 患者安全实践干预措施有效性的决定因素？“。发表在享有盛誉的BMJ上 2011年，《质量与安全》被编辑评选，被引用185次。我是一名副主编， 他是领先的CIH杂志JICM的编辑委员会，并曾两次担任《医疗保健》的客座编辑。在……里面 在过去的三年里，我有26名退伍军人管理局的学员，并与101名调查人员合作，其中大多数来自10名退伍军人管理局或 大学，并为VA临床医生和国家领导层举办了许多应邀的国家和地方讲座 向8名国会议员或国会工作人员进行外部简报。在过去的三年里，我担任 洛杉矶(洛杉矶)HSR&D副主任(至2021年)，并在四个洛杉矶退伍军人委员会、四个当地退伍军人事务部任职 博士后项目和23项退伍军人管理局和非退伍军人管理局服务活动。在加州大学洛杉矶分校，我是两年后的兼职教授 科室、医学、卫生政策和管理。我是加州大学洛杉矶分校的退伍军人事务部主任 地区卫生服务研究培训计划，并在加州大学洛杉矶分校的第二个计划中担任教师导师。

As a sociomedical scientist, health services researcher, and implementation scientist, I have 20+ years’ experience and have been consistently VA funded with over $13 million as PI or Co-PI to lead complex and impactful research in: 1) geographic correlates of health/healthcare, 2) patient safety, and 3) complementary and integrative health (CIH) therapy effectiveness and implementation. I use advanced methods such as multi- level modeling, geospatial techniques, natural language processing, and pragmatic trials. My CIH research of the past decade has solidified my national and international stature within and beyond VA. For example, the NIH considers me one of the few people internationally at the intersection of implementation and CIH. CIH is a key VA “Whole Health” component and part of many top VA priorities. My work is often used to inform Congress and has substantially shaped VA healthcare nationally. As such, I was given the 2019 HSR&D Health Services Impact award. I currently am PI of two major research and evaluation initiatives totaling almost $9 million, one being a center with 9 projects. These ten current studies and projects stem mostly from one of my five most important studies. The resulting paper, “What Should Health Care Systems Consider When Implementing Complementary and Integrative Health…” was the third most cited paper in 2019 in the leading CIH journal, Journal of Integrative and Complementary Medicine (JICM). VA Office of Patient Centered Care’s (OPCC&CT, the VA Office guiding CIH/Whole Health policy) frequently uses it when shaping policy, referring to it as their “implementation bible”. My current “APPROACH” trial for which I am Co-PI (with Dr. Steve Zeliadt, VA Puget Sound), is an HSR&D Merit for a six-year, $4.3 million pragmatic trial. This high-profile study includes nine Co-Is from four VAs to longitudinally examine the effectiveness of CIH therapies among the largest-ever sample of CIH recipients (5,600+) and is conducted in partnership with the OPCC&CT. The other nine projects stemming from that key 2019 paper are part of the Complementary and Integrative Health Evaluation Center (CIHEC), for which I am PI. CIHEC is a large-scale QUERI Partnered Evaluation Initiative co-funded by OPCC&CT for six years (funded in 2017, renewed every two years for $3.5 million to-date). As CIHEC’s Director, I have overseen 22 Co-Is and staff in nine VAs to conduct nine CIH projects. All are done in collaboration with OPCC&CT to help guide their national strategy, support evidence-based CIH implementation, and respond to Congress. Their papers and reports have been the subject of briefings to Congresspersons, Congressional commissions, and VA leadership, and have been featured in ORD and HSR&D publications circulated to VACO. I have published 35 peer-reviewed papers in the past 3 years, 60% as first or senior author and 77% in higher quality journals, with an h-index of 29 and an i10-index of 51. My most important CIH-related paper is the above 2019 paper and my most important patient safety paper is, “What Context Features Might be Important Determinants of the Effectiveness of Patient Safety Practice Interventions?”. Published in the prestigious BMJ Quality & Safety in 2011, it was Editor’s Choice, and has been cited 185 times. I am an Associate Editor and on the editorial board for the leading CIH journal, JICM, and have served as Guest Editor Medical Care twice. In the past three years, I have had 26 VA mentees and collaborated with 101 investigators, most from 10 VAs or universities, and have given many invited national and local lectures to VA clinicians and national leadership and external briefings to 8 Congresspersons or Congressional staffers. For the past three years, I served as the Los Angeles (LA) HSR&D Associate Director (until 2021) and served on four LA VA committees, four local VA postdoctoral programs, and 23 VA and non-VA service activities. At UCLA, I am Adjunct Professor in two departments, Medicine, and Health Policy and Management. I am the VA Director of the UCLA Los Angeles Area Health Services Research Training Program and am faculty mentor in a second UCLA program.