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HSRD Research Enhancement Award Programs (REAPs)

REAP sites support groups of investigators at VA medical centers not affiliated with an HSR&D Center of Excellence, but who already have a history of HSR&D research and career development funding. Sites will develop a core program of investigators, statisticians, economists, and other social scientists to support and facilitate the development of HSR&D research projects and the training and mentoring of new HSR&D investigators.



Birmingham, AL:  Deep South Center on Effectiveness



Focus

  • Changing provider practice patterns using evidence-based interventions to improve the quality of care for veterans
  • Use of VA’s extensive databases to promote improved care by establishing a link between direct patient care and population-based analyses

Contact
Mary T. Hawn, MD, MPH
(205) 933-8101
mhawn@uab.edu

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Bronx, NY: Center for the Study of Health Care Across Systems and Sites of Care



Focus
  • Conduct research to improve processes and outcomes of care for veterans with complex conditions using multiple health care sites and systems.
  • Develop and test strategies to improve quality of care during patient care handoffs and transitions.
  • Investigate efficiency and cost implications of dual use of Medicare and VA care for both system.

Contact
Joan Penrod, PhD
(718) 584-9000 x3814
joan.penrod@va.gov

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Charleston, SC: Center for Disease Prevention and Health Interventions for Diverse Populations



Focus
  • Develop interventions for primary, secondary, and tertiary prevention of disease and its complications in veterans.
  • Develop interventions to eliminate racial/ethnic, socioeconomic, and gender disparities in quality of care and health outcomes for veterans.
  • Develop interventions to improve the health of rural dwelling veterans.

Contact
Leonard E. Egede, MD, MS
(843) 792-2969
leonard.egede@va.gov

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Denver, CO:  Colorado REAP to Improve Care Coordination for Veterans (CRICC)



Focus

  • Quality of life and care for veterans entitled to long-term care
  • Using telemedicine to expand chronic disease management across the continuum of care
  • Deploying electronic medical record and patient-centered methods to improve coordination
  • Improving pain management and palliative care.

Contact

Evelyn Hutt, MD
(303) 370-7572
Evelyn.Hutt@UCHSC.edu

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East Orange, NJ: Center for Healthcare Knowledge Management for Chronic Complex Illness



Focus
  • Evaluate Effectiveness of Care by assessing how care for one condition (or clusters of conditions) affects the care for other comorbid conditions, thus impacting overall morbidity, mortality, and expenditures.
  • Evaluate Quality, Costs and Efficiency of Care by developing composite quality measures linked with costs (efficiency).
  • Develop/Evaluate Care Coordination Strategies that will improve veteran adherence to and outcomes of care.

Contact
Leonard Pogach, MD, MBA
(973) 676-1000 x1693
leonard.pogach@va.gov

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Gainesville, FL:  Rehabilitation Outcomes Research Center (RORC)



Focus  Rehabilitation Outcomes Research Center (RORC)
  • Interdisciplinary research that improves the health, function, and community reintegration of post-deployed veterans and veterans with neurological impairments.
  • Outcomes of Interest: Health, Function, Independence, Quality of Life and Community Integration, Access, Quality and Cost

Contact
Paul M. Hoffman, MD
(352) 376-1611, ext. 6746
email: Paul.Hoffman1@va.gov
web site: http://www.va.gov/rorc/

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Little Rock, AR:  Center for Mental Healthcare and Outcomes Research

CEMHOR logo Focus
  • Develop quality measurement and quality outcome relationships for depression, dementia, schizophrenia and substance use disorders (SUDs)
  • Interest in treatment adherence as a predictor of positive outcomes to developing and testing interventions to improve care for patients with depression, dementia, schizophrenia and SUDs

Contact
Richard Owen, MD
(501) 257-1710
email: Richard.Owen2@va.gov
web site: http://www.hsrd.research.va.gov/centers/cemhor.cfm (temporary site)



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Portland, OR:  Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders



Focus
  • Develop new conceptual models of how patients with chronic, comorbid mental and physical disorders and their providers understand the patients' illnesses and health care needs. These models will be used in studies that examine methods to improve decision making by providers and patients.
  • Investigate patient, clinician and systems-based barriers to delivering medical care to patients with mental disorders
  • Test novel methods of health delivery to patients with both mental and physical disorders

Contact

Linda Ganzini, MD, MPH
(503) 220-8262 x56492
Linda.ganzini@va.gov
web site: http://www.portlandreap.research.va.gov/index.htm

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Providence, RI: REAP on Outcomes and Quality in Chronic Disease and Rehabilitation (ROQCR)



Focus
  • Redesigning the VA ambulatory care delivery systems to meet the complex chronic care needs of the 21st century veteran population
  • Enhancing post-deployment health and rehabilitation among OEF/OIF veterans.
  • Optimizing systems to meet veterans' long-term care needs.

Contact
Peter Friedmann, MD, MPH
(401) 273-7100 ext. 3871
peter.friedmann@va.gov

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Salt Lake City, UT: Salt Lake Informatics, Decision Enhancement, And Surveillance (IDEAS) Center



Focus
  • Champion the translation of innovative informatics-based tools and interventions into the mainstream of VA health services research and healthcare delivery.
  • Conduct high quality, innovative decision-enhancement research within an energized, highly collaborative, multi-disciplinary research community.
  • Foster dynamic participation and leadership n national VA programs through research activities.

Contact
Matthew Samore, MD
(801) 582-1565 x2423
matthew.samore@va.gov

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San Antonio, TX:  Veterans Evidence-Based Research Dissemination and Implementation Center

Veterans Evidence-Based Research Dissemination and Implementation Center logo

Focus
  • Identify effective, theory-based methods of facilitating organizational change necessary to provide evidence-based, patient-centered health care
  • Promote improved chronic illness care management through research on effective methods of implementing the chronic illness care model, including defining the roles of the system and health care providers in increasing patient self-efficacy and self-management skills
  • Identify effective methods, such as real-time decision support, for enhancing the provider's and the provider-patient dyad's ability to engage in evidence-based, shared decision-making
  • Create new knowledge to fill evidence gaps so as to inform future research and provider decisions

Contact
Michael Parchman, MD, BA
(210) 617-5300 x14028
email: Michael.parchman@va.gov
web site: http://www.va.gov/verdict/

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San Francisco, CA:  Program to Improve Care for Veterans with Complex Comorbid Conditions



Focus
  • Improving the quality of care for patients with complex comorbid conditions
  • Extending current knowledge about determinants of and improvement in comprehensive health outcomes in these patients, including, for example, their ability to function in daily activities and their quality of life

Contact
Mary-Margaret Chren, MD
(415) 221-4810 x3982
chrenm@derm.ucsf.edu
web site: http://www.sfhsrd.research.va.gov/

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Tampa, FL: Maximizing Rehabilitation Outcomes



Focus
  • Advance the science of rehabilitation for veterans with disabilities, including wounded warriors from Operations Enduring Freedom and Iraqi Freedom (OEF/OIF).
  • Promote function, safety, and quality of life for veterans with disabilities, including polytrauma.
  • Become a national resource to the VHA and HSR&D in the areas of rehabilitation outcome measurement, patient safety for persons with disabilities, and polytrauma.
  • Train new HSR&D researchers in rehabilitation outcomes.

Contact
Audrey Nelson, PhD, RN, FAAN
813-558-3910
audrey.nelson@va.gov

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West Haven, CT: Pain Research, Informatics, Medical comorbidities, and Education (PRIME) Center



Focus
  • Promote access, continuity, and sustainability of safe and effective interventions for pain and pain-related disability
  • Increase respect for patient risks, preferences, and priorities in pain care
  • Reduce ethnic/racial, geographic, gender related, and age related disparities in access and delivery of effective pain care
  • Promote organizational change that can increase health related quality of life and reduce symptom burden for veterans with pain and comorbid chronic disease

Contact
Robert D. Kerns, PhD
203-937-3841
robert.kerns@va.gov

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