关键词: QUERI VHA implementation science legislation policy analysis veterans

来  源:   DOI:10.1111/1475-6773.14357

Abstract:
OBJECTIVE: To describe a process model for assisting partners in addressing requirements of legislation and review policy analysis, planning, and evaluation design processes and tools. Throughout its 25-year history, the United States Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) program has been a forerunner in partnering with organizational leaders to improve health care. The Foundations of Evidence-based Policymaking Act of 2018 provided new opportunities for QUERI and other implementation scientists to support federal agency leaders in implementing, evaluating, and reporting on congressionally mandated programs. Although implementation scientists have the skills to support partnered implementation and evaluation, these skills must be adapted for congressionally mandated projects as many scientists have limited experience in policy analysis and the intersection of data informing organizational policy, programs, and practices (i.e., evidence-based policy).
METHODS: During the conduct of four congressionally mandated projects, our national VA QUERI team developed processes and tools to achieve the goals and aims of our VHA partners and to ensure our collective work and reporting met legislative requirements.
METHODS: Our process model, program planning, and analysis tools were informed by an iterative process of refining and adapting the tools over a period of six years, spanning the years 2017 to 2023.
RESULTS: Work to support our partners was conducted across three phases: preparation and planning, conducting implementation and evaluation, and developing the congressionally mandated report. The processes and tools we developed within the context of mutually respectful and honest partnerships have been critical to our QUERI center\'s success in this area.
CONCLUSIONS: Lessons we learned may help other scientists partnering in VA or other federal agencies to plan, conduct, and report on congressionally mandated projects.
摘要:
目标:描述一个过程模型,用于协助合作伙伴解决立法要求和审查政策分析,规划,以及评估设计过程和工具。在其25年的历史中,美国退伍军人事务部(VA)质量增强研究计划(QUERI)计划一直是与组织领导合作以改善医疗保健的先驱。2018年《循证决策基础法》为QUERI和其他实施科学家提供了新的机会,以支持联邦机构领导人实施,评估,并报告国会授权的计划。尽管实施科学家具有支持合作实施和评估的技能,这些技能必须适应国会授权的项目,因为许多科学家在政策分析和为组织政策提供信息的数据交叉方面的经验有限,programs,和实践(即,基于证据的政策)。
方法:在进行四个国会授权的项目期间,我们的国家VAQUERI团队开发了流程和工具,以实现我们的VHA合作伙伴的目标和宗旨,并确保我们的集体工作和报告符合立法要求。
方法:我们的流程模型,方案规划,和分析工具是通过在六年的时间内完善和调整工具的迭代过程而获得的,跨越2017年至2023年。
结果:支持我们的合作伙伴的工作分为三个阶段:准备和计划,进行实施和评估,制定国会授权的报告。我们在相互尊重和诚实的伙伴关系的背景下开发的流程和工具对于我们的QUERI中心在这一领域的成功至关重要。
结论:我们学到的经验教训可能有助于其他科学家与VA或其他联邦机构合作制定计划,行为,并报告国会授权的项目。
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