QUERI Highlights Implementation and Evaluation Science
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Access and Health Equity

According to the World Health Organization (WHO), timely access to care is one of the fundamental characteristics of a quality health system, which was never more important than during the pandemic.¹

QUERI works to assess need and evaluate implementation and quality improvement strategies in order to provide evidence-based healthcare for all Veterans across diverse backgrounds and settings. With an emphasis on improving access to care for women Veterans, as well as ethnically diverse Veterans and those living in under-served areas, QUERI Centers focus on the following areas.

Bridging the Care Continuum (Bridge) QUERI will help Veterans negotiate the care continuum, focusing on homelessness, the justice system, and substance abuse. Bridge QUERI will work to expand access to and engagement in prevention, treatment, and supportive services for Veterans most impacted by social determinants of health.

• Principal Investigators: Keith McInnes, ScD, MS; A. Rani Elwy, PhD, MS; Amanda Midboe, PhD; and David Smelson, PsyD
• Partners: VA Office of Mental Health and Suicide Prevention, VA Programs for Homeless Veterans, VA Office of Health Equity, and HIV, Hepatitis, and Related Conditions Program Office

Care Coordination for Homeless Veterans QUERI will help VA implement Critical Time Intervention (a time-limited case management practice) to enhance care coordination for homeless-experienced Veterans.

• Principal Investigator: Sonya Gabrielian, MD, MPH
• Partners: VISN 22 and the VA Grant and Per-Diem National Program Office

Center for the Evaluation of Enterprise-Wide Initiatives QUERI center is conducting a comprehensive review of VA Office of Rural Health’s enterprise-wide initiatives (EWI) to identify best practices and strategies for enhancing the impact of the EWIs to improve the quality and safety of care delivered to Veterans in rural areas.

• Principal Investigator: Heather Reisinger, PhD
• Partner: VA’s Office of Rural Health

Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) QUERI will expand access to preventive and mental health services for women Veterans, focusing on heart disease, depression, and reproductive health.

• Principal Investigators: Alison Hamilton, PhD, MPH; Bevanne Bean-Mayberry, MD; Melissa Farmer, PhD, MS; and Tannaz Moin, MD, MBA, MSHS
• Partners: VA Women’s Health Services, National Center for Health Promotion and Disease Prevention, Office of Mental Health and Suicide Prevention and VISNs 7, 17, 19, and 22; in addition to VA’s Offices of Connected Care, Patient-Centered Care and Cultural Transformation, Primary Care Services, Rural Health, and Specialty Care

Health Equity QUERI will leverage a population health approach to examine health, quality of care, and experiences of vulnerable Veteran populations.

• Principal Investigator: Donna Washington, MD, MPH, FACP
• Partners: VA Office of Health Equity; Health Equity Coalition; and COVID-19 Equity Workgroups

Improving Care for Complex, High-Risk Veterans in Primary Care (RIVET) QUERI will improve VA primary care capacity to provide comprehensive care for high-risk Veterans through care planning and medication adherence.

• Principal Investigators: Evelyn Chang, MD, MSHS: Ashok Reddy, MD; Ann-Marie Rosland, MD, MS; and Susan Stockdale, PhD
• Partners: VA’s Office of Primary Care, Office of Patient-Centered Care, Geriatric & Extended Care, and VISNs 9, 10, and 12

Quadruple Aim QUERI will enhance Veteran outcomes and experiences, clinician engagement, and reduce the cost of care by providing value-based care coordination between VA and community settings for Veterans.

• Principal Investigators: Catherine Battaglia, PhD, RN; Joseph Frank, MD, MPH; and Christine Jones, MD, MPH
• Partners: VA Offices of Community Care, Nursing Service, Care Management and Social Work, Mental Health and Suicide Prevention, and VISN 19

Social Work Effectiveness for Rural Veterans Evaluation (SERVE) QUERI will evaluate the impact of embedding social workers in primary care teams to support the well-being of Veterans and their families. QUERI investigators will assess the impact of social work on outcomes such as emergency department visits, hospitalization, access to primary care, and use of long-term care.

• Principal Investigator: Portia Cornell, PhD, MSPH
• Partner: VA National Social Work Programs Office

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