Linking implementation science and policy: Process and tools for congressionally mandated implementation, evaluation, and reporting

IF 3.1 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Services Research Pub Date : 2024-07-24 DOI:10.1111/1475-6773.14357

Monica M. Matthieu PhD, LCSW, David A. Adkins MHA, LaCinda Jones MSW, MJ, LISW-S, Ciara M. Oliver MS, Jack H. Suarez BS, Barbara Johnson BA, Mona J. Ritchie PhD, LCSW

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引用次数: 0

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).

Data Sources and Study Setting

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.

Study Design

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.

Principal Findings

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.

Abstract Image

查看原文本刊更多论文

将实施科学与政策联系起来：国会授权实施、评估和报告的程序和工具。

目标：描述协助合作伙伴满足立法要求的流程模型，并审查政策分析、规划和评估设计流程及工具。在其 25 年的历史中，美国退伍军人事务部（VA）质量提升研究计划（QUERI）一直是与组织领导者合作改善医疗保健的先驱。2018 年《循证决策基础法案》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、评估和报告国会授权的计划。尽管实施科学家拥有支持合作实施和评估的技能，但这些技能必须针对国会授权项目进行调整，因为许多科学家在政策分析以及为组织政策、计划和实践（即循证政策）提供数据信息的交叉方面经验有限：在开展四个国会授权项目期间，我们的退伍军人事务部 QUERI 全国团队开发了各种流程和工具，以实现我们的退伍军人事务部合作伙伴的目标和目的，并确保我们的集体工作和报告符合立法要求：研究设计：我们的流程模型、计划规划和分析工具是在 2017 年至 2023 年的六年时间里，通过反复完善和调整这些工具而形成的：支持合作伙伴的工作分为三个阶段：准备和规划、实施和评估以及编写国会授权报告。我们在相互尊重和诚实的伙伴关系背景下开发的流程和工具对我们的 QUERI 中心在这一领域取得成功至关重要：我们吸取的经验教训可能有助于其他科学家与退伍军人事务部或其他联邦机构合作，规划、实施和报告国会授权的项目。

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来源期刊

Health Services Research 医学-卫生保健

CiteScore

4.80

自引率

5.90%

发文量

193

审稿时长

4-8 weeks

期刊介绍： Health Services Research (HSR) is a peer-reviewed scholarly journal that provides researchers and public and private policymakers with the latest research findings, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. Rated as one of the top journals in the fields of health policy and services and health care administration, HSR publishes outstanding articles reporting the findings of original investigations that expand knowledge and understanding of the wide-ranging field of health care and that will help to improve the health of individuals and communities.