Evidence map›Paper›PMID 34175097›Full record

ArticleHealthcare (Amsterdam, Netherlands)2021

Promoting learning health system feedback loops: Experience with a VA practice-based research network card study.

Rachel E Golden, Ruth Klap, Diane V Carney, Elizabeth M Yano, Alison B Hamilton, Stephanie L Taylor, Benjamin Kligler, Alison M Whitehead, Fay Saechao, Yevgeniya Zaiko and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rachel E GoldenVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA. Electronic address: Rachel.Golden@va.gov.
Ruth KlapVA Greater Los Angeles Healthcare System, VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, Sepulveda Ambulatory Care Center, 16111 Plummer Street (152), Los Angeles, CA, 91343, USA; UCLA David Geffen School of Medicine, Department of Psychiatry and Biobehavioral Science, Semel Institute/NPI, 760 Westwood Plaza, Los Angeles, CA, 90024, USA.
Diane V CarneyVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA.
Elizabeth M YanoVA Greater Los Angeles Healthcare System, VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, Sepulveda Ambulatory Care Center, 16111 Plummer Street (152), Los Angeles, CA, 91343, USA; UCLA Fielding School of Public Health, Department of Health Policy and Management, 650 Charles Young Dr. S., 31-269 CHS Box 951772, Los Angeles, CA, 90095-1772, USA; UCLA David Geffen School of Medicine, Department of Medicine, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.
Alison B HamiltonVA Greater Los Angeles Healthcare System, VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, Sepulveda Ambulatory Care Center, 16111 Plummer Street (152), Los Angeles, CA, 91343, USA; UCLA David Geffen School of Medicine, Department of Psychiatry and Biobehavioral Science, Semel Institute/NPI, 760 Westwood Plaza, Los Angeles, CA, 90024, USA.
Stephanie L TaylorVA Greater Los Angeles Healthcare System, VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, Sepulveda Ambulatory Care Center, 16111 Plummer Street (152), Los Angeles, CA, 91343, USA; UCLA Fielding School of Public Health, Department of Health Policy and Management, 650 Charles Young Dr. S., 31-269 CHS Box 951772, Los Angeles, CA, 90095-1772, USA; UCLA David Geffen School of Medicine, Department of Medicine, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.
Benjamin KliglerVA Office of Patient-Centered Care & Cultural Transformation, Veterans Health Administration, U.S. Department of Veterans Affairs, 810 Vermont Ave NW, Washington, DC, 20420, USA.
Alison M WhiteheadVA Office of Patient-Centered Care & Cultural Transformation, Veterans Health Administration, U.S. Department of Veterans Affairs, 810 Vermont Ave NW, Washington, DC, 20420, USA.
Fay SaechaoVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA.
Yevgeniya ZaikoVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA.
Alyssa PomernackiVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA.
Susan M FrayneVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA, 94025, USA; Stanford University Division of Primary Care and Population Health, Department of Medicine, 300 Pasteur Drive, Stanford, CA, 94305, USA.
WH-PBRN-CIH Writing Group

Funding

HSRD VA SDR 10-012
6 · The paper itself

Abstract

backgroundWe tested the capacity of the 60-site VA Women's Health Practice-Based Research Network (WH-PBRN), embedded within VA, to employ a multisite card study to collect women Veterans' perspectives about Complementary and Integrative Health (CIH) and to rapidly return findings to participating sites and partnered national policy-makers in support of a Learning Health System (LHS) wherein evidence generation informs ongoing improvement.

methodsVA primary care clinic clerks and nurses distributed anonymous surveys (patient feedback forms) at clinics for up to two weeks in fiscal year 2017, asking about CIH behavior and preferred delivery methods. We examined the project's feasibility, representativeness, acceptability, and impact via a tracking system, national administrative data, debriefing notes, and three surveys of WH-PBRN Site Leads.

resultsTwenty geographically diverse and largely representative VA Medical Centers and 11 Community-Based Outpatient Clinics volunteered to participate. Over six months, N = 1191 women Veterans responded (median 57; range 8-151 per site). In under three months, we returned local findings benchmarked against multisite findings to all participating sites and summary findings to national VA partners. Sites and partners disseminated results to clinical and leadership stakeholders, who then applied results as warranted.

conclusionsVA effectively mobilized an embedded PBRN to implement a timely, representative, acceptable and impactful operations project. IMPLICATIONS: Card studies by PBRNs within large, national healthcare systems can provide rapid feedback to participating sites and national leaders to guide policies, programs, and practices. LEVEL OF EVIDENCE: Self-selected respondents could have biased results.

Indexed as

Learning Health SystemVeteransFeedbackFemaleHumansUnited StatesUnited States Department of Veterans AffairsVeterans Health

Identifiers

PMID34175097
PMCPMC8920519

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.