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QUERI Implementation Guide

Implementation Guide

Section II Part 1: VA QUERI Quality Improvement Demonstrations: Lessons Learned

This Section outlines a number of lessons learned by individual QUERI groups as they conducted projects designed to integrate research findings into practice to improve the quality of care in VA health care facilities.

Examples are organized into issues related to:

  • Evidence – the evidence base for the practice change,
  • Context – the organizational context for the change, and
  • Facilitation – the methods used for facilitating the change.

This typology is borrowed from the framework for implementation of evidence-based practice developed by Kitson and colleagues.1,2 An "Other" category is used for lessons that do not readily fall into one of the above categories. The QUERI group that offers each example is identified as follows: Chronic Heart Failure QUERI – CHF, Colorectal Cancer QUERI – CRC, Diabetes Mellitus QUERI – DM, Human Immunodeficiency Virus/AIDS QUERI – HIV, Ischemic Heart Disease QUERI – IHD, Mental Health QUERI – MH, Spinal Cord Injury QUERI – SCI, and Substance Use Disorder QUERI – SUD. [At the time this section was written, these eight QUERI groups had been in operation, while the Stroke QUERI had not yet been funded.]

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