ArticleHealth services research2022
Aligning quality improvement efforts and policy goals in a national integrated health system.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 29 citations in OpenAlex.
- Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.Journal of general internal medicine · 2026Article
- Reflections on a global partnership for perinatal quality improvement in Rwanda.BMJ paediatrics open · 2026Review
- Identifying Priorities for the Department of Veterans Affairs Strategic Plan: A Rapid Multi-Method Evaluation.Learning health systems · 2026Article
- Rural-Urban Disparities in Access to Interventional Psychiatry Treatments among VA Patients.Rural mental health · 2026Article
- Dissemination and Implementation Theories, Models, or Frameworks Utilized in International Aging Research: A Citation Analysis.Global implementation research and applications · 2026Review
- Charting progress in learning health systems: A systematic review of 5 years of definitions, models, and frameworks.Learning health systems · 2025Article
- Digital health equity frameworks and key concepts: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Understanding Tinnitus Clinical Care in the Veterans Health Administration and Department of Defense: Overview of Survey Results.American journal of audiology · 2024Article
- The foundational science of learning health systems.Health services research · 2024Article
- The translation-to-policy learning cycle to improve public health.Learning health systems · 2024Article
- Mobilizing strategic inflection points for sustainment of an effective intervention in an integrated learning health system: an interpretive description.Implementation science communications · 2024Article
- Developing Evidence to Support Policy: Protocol for the StrAtegic PoLicy EvIdence-Based Evaluation CeNTer (SALIENT).JMIR research protocols · 2024Article
- Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change.BMC medicine · 2024Review
- Hurdles of innovation-insights from a new healthcare delivery innovation program.Learning health systems · 2023Article
- Grading Evidence to Support Legislative and Budget Proposals-Veterans Health Administration's Key to Implementing the Evidence Act.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023Article
- How the VA is training the Next-Generation workforce for learning health systems.Learning health systems · 2022Article
- Translating research into policy and action.Health services research · 2022Article
- Aligning quality improvement efforts and policy goals in a national integrated health system.Health services research · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the design and impact of a systematic, enterprise-wide process for engaging US Department of Veterans Affairs (VA) leadership in prioritizing scarce implementation and evaluation resources. DATA SOURCES: From 2017 to 2021, the VA Quality Enhancement Research Initiative (QUERI) identified priorities from local, regional, and national leaders through qualitative discussions and a national survey and tracked impacts via reports generated from competitively funded initiatives addressing these priorities. STUDY
designGuided by the Learning Health System framework and QUERI Implementation Roadmap, QUERI engaged stakeholders to nominate and rank-order priorities, peer-reviewed and funded initiatives to scale up and spread evidence-based practices (EBPs) using theory-based implementation strategies, and evaluated the impact of these initiatives using the QUERI Impact Framework. DATA COLLECTION/EXTRACTION
methodsQUERI collected priority nominations through qualitative discussions and a web-based survey, and live voting was used to rank-order priorities. QUERI-funded teams regularly submitted progress reports describing the key activities, findings, and impacts of the quality improvement (QI) initiatives using a standardized form created in the VA Research Electronic Data Capture (REDCap). PRINCIPAL
findingsQUERI launched five QI initiatives to address priorities selected by VA leadership. In partnership with 28 health system leaders, these initiatives are implementing 10 EBPs across 53 sites, supporting 1055 VA employees in delivering evidence-based care. The success of these initiatives led to an expansion of QUERI's process to address 2021 VA leadership priorities: virtual care, health disparities, delayed or suppressed care due to COVID-19, employee burnout, long-term and home care options, and quality and cost of community care.
conclusionsQUERI, a unique program embedded in a national integrated health system, deployed a novel approach to inform policy making and enhance the real-world impact of research through prioritization of limited resources, rigorous peer-review, and assessment of impacts on the health system, employees, and Veterans.
Indexed as
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What OpenQuestion holds
Registered trials
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.