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Center for Care Delivery and Outcomes Research

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Implementation Core

Purpose: The purpose of the CCDOR Implementation Core is to enhance CCDOR’s capacity to conduct rigorous and impactful implementation research by providing ongoing training and consultation in implementation theory and methods to CCDOR Investigators and staff.

Services provided:The Implementation Core meets monthly to develop general resources and training opportunities for CCDOR staff, and to provide tailored consultation to individual investigators on the development and execution of specific implementation projects.  The Implementation Core reviews and provides assistance in refining the implementation plans for research proposals submitted by CCDOR Investigators to HSR&D, and provides ongoing mentoring in implementation methods for VA HSR&D Career Development Awardees. To date the Core has conducted 3 training workshops, consulted on more than 15 projects, hosted two visiting scholars, and mentored several CDAs. Tools developed by the Core (including reading and training lists and a monthly journal club) are used by junior implementation scientists around the country.

Expertise: Chaired by Hildi Hagedorn, PhD (CCDOR Core Investigator and Associate Professor Department of Psychiatry, University of Minnesota), the Implementation Core draws on the expertise of four experienced implementation scientists, including two prior QUERI Implementation Research Coordinators (Princess Osei-Bonsu, PhD, MSPH and Hildi Hagedorn, PhD), one prior QUERI Associate Director (Shannon Kehle-Forbes, PhD) and one former QUERI Director (Melissa Partin, PhD).  Collectively these Core members have 50 years of experience in quality improvement, program evaluation, and implementation science, and, with their varied backgrounds in clinical psychology, behavioral epidemiology, public health, and population science, they bring a rich, interdisciplinary perspective to the training and consulting services they provide.  They have considerable experience successfully collaborating with partners in various branches of VA Operations. The breadth of expertise within the Implementation Core includes:

Methods
• Implementation Intervention design
• Hybrid, pragmatic clinical trials
• Survey, qualitative and mix methods
• Implementation Facilitation
• Formative, process, and summative evaluation design
• Integrating process evaluation into randomized controlled trials
• Implementation and sustainability planning and evaluation
    Content
    • Shared decision making
    • Patient education and communication
    • Provider behavior change
    • Behavioral, decision and implementation theories
    • Evidence-based interventions

    Highlights:
    • Dr. Hagedorn chaired a symposium titled “Introduction to Implementation Science: Application to Alcohol Use Disorders” at the American Psychological Association National Meeting in August, 2014 which led to an invited publication (Bauer, M.S., Damschroder, L., Hagedorn, H., Smith, J., Kilbourne, A.M. (2015). An introduction to implementation science for the non-specialist. BMC Psychology. 3:32.) which is currently one of the top 5 most accessed BMC Psychology articles.
    • Dr. Hagedorn’s protocol for her current implementation project was published in Implementation Science (Hagedorn, H., Brown, R., Dawes, M., Dieperink, E., Myrick, D.H., Oliva, E., Wagner, T., Wisdom, J. (2016). Enhancing access to alcohol use disorder pharmacotherapy and treatment in primary care settings: ADaPT-PC. Implementation Science. 11:64.) and was featured in an invited panel on integrating substance use disorders treatment into primary care settings at the Addiction Health Services Research National Meeting in October, 2015.
    • Dr. Osei-Bonsu was invited to lecture on implementation science for the New England Veterans Engineering Resource Center (VERC) Fellowship Curriculum Sessions in 2015 (lecture title: “Implementation Science 101”).

    Interested in Implementation Science? Join Our Implementation Science Journal Club:
    Anyone interested is welcome to call into our discussions via Skype for Business (inside the VA) or telephone (inside or outside the VA). This is your opportunity to keep up with the implementation science literature and discuss this evolving field with experienced implementation scientists! The Implementation Science Journal Club meets the 4th Tuesday of each month at 2:00 pm CST. Please contact Kristen Ullman (Kristen.Ullman@va.gov) to be added to the group.