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; Alyssa Pomernacki; Susan M Frayne; WH-PBRN-CIH Writing Group

doi:10.1016/j.hjdsi.2020.100484

Back

Journal article

Open access

Peer reviewed

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, …

Healthcare : the journal of delivery science and innovation, Vol.8 Suppl 1, pp.100484-100484

06/2021

DOI: 10.1016/j.hjdsi.2020.100484

PMCID: PMC8920519

PMID: 34175097

Files and links (1)

url

https://doi.org/10.1016/j.hjdsi.2020.100484View

Published (Version of record) Open Access

Abstract

We 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. VA 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. Twenty 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. VA effectively mobilized an embedded PBRN to implement a timely, representative, acceptable and impactful operations project. 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. Self-selected respondents could have biased results.

United States

Veterans

Feedback

Female

Humans

Learning Health System

United States Department of Veterans Affairs

Veterans Health

Details

Title: Subtitle: Promoting learning health system feedback loops: Experience with a VA practice-based research network card study
Creators: Rachel E Golden - VA Palo Alto Health Care System
Ruth Klap - University of California, Los Angeles
Diane V Carney - VA Palo Alto Health Care System
Elizabeth M Yano - University of California, Los Angeles
Alison B Hamilton - University of California, Los Angeles
Stephanie L Taylor - University of California, Los Angeles
Benjamin Kligler - United States Department of Veterans Affairs
Alison M Whitehead - United States Department of Veterans Affairs
Fay Saechao - VA Palo Alto Health Care System
Yevgeniya Zaiko - VA Palo Alto Health Care System
Alyssa Pomernacki - VA Palo Alto Health Care System
Susan M Frayne - Stanford University
WH-PBRN-CIH Writing Group
Contributors: Anne G Sadler (Contributor) - University of Iowa, Psychiatry
Resource Type: Journal article
Publication Details: Healthcare : the journal of delivery science and innovation, Vol.8 Suppl 1, pp.100484-100484
DOI: 10.1016/j.hjdsi.2020.100484
PMID: 34175097
PMCID: PMC8920519
NLM abbreviation: Healthc (Amst)
ISSN: 2213-0764
eISSN: 2213-0772
Grant note: SDR 10-012 / Intramural VA
Language: English
Date published: 06/2021
Academic Unit: Psychiatry; Injury Prevention Research Center
Record Identifier: 9984281655202771

Metrics

14 Record Views

7 Times Cited - Web of Science