Funding Agency National Institutes of Mental Health Title Improving and Sustaining Delivery of CPT for PTSD in Mental Health Systems Status Active Period 4/2016 - 3/2021 Role Co-Investigator Grant Detail Goals: Hybrid III Implementation-Effectiveness methods will be used across three diverse mental health systems to: 1) Examine the impact of two Implementation Strategies (ISs) for sustained EBP delivery on the use and effectiveness of CPT; and 2) Assess each ISs?s acceptability, compatibility and perceived effectiveness within routine care settings in diverse systems using a mixed-methods approach to monitor stakeholder satisfaction and perceptions of potential barriers and facilitators to ths ISs and to CPT sustainment. Funding Agency VA Quality Enhancement Research Initiative Title Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) Status Active Period 10/2015 - 9/2020 Role Co-Investigator Grant Detail Goals: 1) Use an evidence-based implementation strategy that emphasizes local tailoring of care models, multilevel stakeholder engagement, and systematic evaluation of complex implementation processes in order to enrich organizational capacity for innovations in women Veterans? VHA health care; 2) implement personalized, proactive, patient-centered innovations in VHA women?s health that are acceptable, feasible, satisfactory, relevant, and effective for both providers and patients, thereby encouraging women Veterans? engagement and retention and sustainability of the innovations; and 3) generate implementation ?playbooks? for our partners that are scalable and serve as guidance for future implementation of a broader array of evidence-based women?s health programs and policy. Funding Agency VA Quality Enhancement Research Initiative Title Improving Patient-Centered Care Coordination for High-Risk Veterans in PACT Status Active Period 10/2015 - 9/2020 Role Co-Investigator Grant Detail Goals: 1) Develop a care coordination toolkit and coaching manual to improve care for high-risk Veterans; 2) Pilot a toolkit and distance coaching intervention for PACT sites to enhance coordination of care for high-risk Veterans; 3) Using a cluster-randomized design at the clinic level, compare the effectiveness of the online toolkit alone to the combination of the online toolkit plus distance coaching for PACT sites. Funding Agency Department of Veterans Affairs Title Evaluation of Implementation of a National Point-of-Care Ultrasound Training Program Status Active Period 10/2016 - 9/2020 Role Co-Investigator Grant Detail This Department of Veterans Affairs QUERI partnered evaluation project is evaluating the impact of a Point-of-care Ultrasound (POCUS) Training Course on provider skill acquisition and retention; the frequency of POCUS use by trained providers; and the barriers/facilitators to POCUS in the VHA. Data sources include the pre- and post-course assessment tools knowledge and skills tests, medical coding data, and course evaluations. Providers that participate in the POCUS Training Course are being compared to control providers from wait-listed facilities. Findings from this project will guide ongoing efforts of our operating partners, Specialty Care Centers of Innovation (SCCI) and the Simulation Learning and Research Network (SimLEARN), to build a national POCUS training program and facilitate implementation of POCUS use system-wide in the VA healthcare system. Funding Agency Public-Private Partnership by Henry M. Jackson Foundation for Advancement of Military Medicine Title The Veterans Metric Initiative Status Active Period 4/2015 - 3/2020 Role Co-Principal Investigator Grant Detail Goal: To identify factors and programs predictive of Veterans' well-being following separation from military service. Funding Agency Department of Veterans Affairs Health Services Research and Development Office Title Sensemaking in VHA Health Care Systems: A Focus on Readmissions Status Active Period 7/2014 - 9/2018 Role Co-Investigator Grant Detail Goals: 1) Elucidate how sensemaking unfolds across professional cultures and organizational units to reduce readmissions, the origins of which cannot easily be attributed to any one single organizational or patient level failure; 2) Build an agent-based model based on results from the qualitative data to gain further insights into the interdependencies and relative effects of the various agents and their actions on readmission rates. Funding Agency VA Quality Enhancement Research Initiative Title National Rural Health Evaluation Status Active Period 10/2015 - 9/2017 Role Co-Investigator Grant Detail Goals: 1) Create the Veterans Rural Health Atlas (VeRHA) and annotated chart book that will characterize geographic variation in access, utilization, quality, satisfaction, and outcomes for rural Veterans using existing data sources and GIS mapping. 2) Identify the specific socioeconomic, cultural, and environmental factors associated with geographic variation in access, utilization, quality, satisfaction and outcomes for rural Veterans. 3) Describe perceived access and need, and identify preferences for and barriers and facilitators to health and healthcare among rural Veterans in hot and cold spots.