HSR&D Research Career Scientist Award

这个研究职业科学家奖将支持博士克莉丝汀W。哈特曼在扩大她的科学 研究、指导和服务贡献超出了其他可能的范围， 增加她对VA和HSR&D任务的积极影响。哈特曼博士是退伍军人事务部的一名高级卫生服务人员 研究人员和执行科学家进行严格的，卫生系统相关的研究。她工作 与VA业务合作伙伴密切合作，并在快速转化研究成果方面取得了巨大成功 付诸实践她作为PI的工作组合主要集中在改善VA的一些最重要的护理 脆弱和高风险的退伍军人，那些生活在弗吉尼亚州的社区生活中心（CLC，即，养老院）。 CLC系统每年花费近40亿美元，为经常参加比赛的退伍军人提供重要的护理。 患有多种慢性疾病，经常被社区养老院拒绝。然而，CLC在以下方面差异很大： 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， 在最高层的VA和国会的关注。哈特曼博士的工作组合确定和解决 这些护理质量的差距。她通过她的两个主要的临床和政策贡献 研究重点：开创护理质量的测量和调查，并成为使用 实施科学，以改善护理结果。 博士哈特曼在CLC的工作产生了巨大的影响。其中一个例子是来自一系列的HSR&D研究， 她制定了有效的，以证据为基础的干预措施和实施战略，使CLC 工作人员，以提高他们的护理质量。基于研究的成功，老年医学和延伸护理办公室 在全国范围内推广了由此产生的干预措施，并创建了一个全国CLC质量改进中心。 哈特曼共同导演。该中心迄今为止已获得700万美元的资金，每年为7个以上的FTEE提供支持。博士 哈特曼还将这些干预措施推广到弗吉尼亚州以外。她获得了一项为期5年、价值720万美元的NIH 社区养老院公司改善养老院睡眠结果的实用临床试验 老年痴呆症患者QUERI还资助了哈特曼博士作为培训中心的实施战略， 允许在CLC设置之外使用。这项工作导致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，只是影响的一个例子， 她的研究。总的来说，哈特曼博士作为PI领导了8个大型VA和NIH赠款，总额近1500万美元。 博士哈特曼在地方和国家层面做出了重大贡献。她参与VA和NIH的资助 评审小组，在顶级期刊上发表文章，并广泛指导，包括VISN 1和HSR&D CDA 获奖者她被招募到她现在的大学，部分原因是为了在拨款申请中提供教师指导 发展她是质量改进研究和实施科学的热门演讲者。博士 哈特曼将利用该奖项的支持，以实现以下具体目标。目标1：改善养老院 护理结果的质量，包括在低绩效地点。我们不知道如何实现， 持续改进低性能CLC。哈特曼博士不仅通过研究解决了这一差距， 也是通过跨VA协作的先锋。目标2：扩大执行范围 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 教科文组织将继续加强研究和出版工作，并将与现有的国家团体合作，满足实地的迫切需要。目标3： 识别和指导这些领域的早期职业科学家。哈特曼医生会继续指导 活动，并将继续利用自己的专业知识和合作，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。

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.