Accelerating Research Impact in a Learning Health Care System

VA’s Quality Enhancement Research Initiative in the Choice Act Era

Datos Bibliográficos

ID9101347
AutoresAmy M Kilbourne (0000-0001-5815-6401, Veterans Health Administration, autor de correspondencia), A Rani Elwy (0000-0001-7088-3118, VA Center for Healthcare Organization and Implementation Research and Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA), Anne E Sales (0000-0001-9360-3334, VA Ann Arbor Center for Clinical Management Research), David Atkins (0000-0003-1381-6861, Veterans Health Administration, autor de correspondencia)
Año2017
Volumen55
NúmeroSuppl 1
PáginasS4-S12
Fecha de publicación2017-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000683
PMID27997456
OpenAlexW2562626481
IdiomaEN
Citas recibidas8
Referencias citadas21

BACKGROUND: Since 1998, the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI) has supported more rapid implementation of research into clinical practice. OBJECTIVES: With the passage of the Veterans Access, Choice and Accountability Act of 2014 (Choice Act), QUERI further evolved to support VHA's transformation into a Learning Health Care System by aligning science with clinical priority goals based on a strategic planning process and alignment of funding priorities with updated VHA priority goals in response to the Choice Act. DESIGN: QUERI updated its strategic goals in response to independent assessments mandated by the Choice Act that recommended VHA reduce variation in care by providing a clear path to implement best practices. Specifically, QUERI updated its application process to ensure its centers (Programs) focus on cross-cutting VHA priorities and specify roadmaps for implementation of research-informed practices across different settings. QUERI also increased funding for scientific evaluations of the Choice Act and other policies in response to Commission on Care recommendations. RESULTS: QUERI's national network of Programs deploys effective practices using implementation strategies across different settings. QUERI Choice Act evaluations informed the law's further implementation, setting the stage for additional rigorous national evaluations of other VHA programs and policies including community provider networks. CONCLUSIONS: Grounded in implementation science and evidence-based policy, QUERI serves as an example of how to operationalize core components of a Learning Health Care System, notably through rigorous evaluation and scientific testing of implementation strategies to ultimately reduce variation in quality and improve overall population health

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