During 2007, the CoE supported a total of 89 active awards for research projects, research administration, and research training. VA HSR&D-funded research projects during the reporting period included 31 Investigator Initiated Research (IIR/NRI) projects, 2 service-directed research projects, 5 other VA-funded projects, 10 Quality Enhancement Research Initiative (QuERI) related projects, 5 Training Programs, 3 Career Development, and 2 Career Scientist Awards. The CoE currently houses the Research Coordinating Center for the Ischemic Heart Disease QuERI, the Clinical Coordinating Center for the Spinal Cord Injury QuERI, and the Clinical Coordinating Center for the Substance Abuse QuERI; supporting their staff activities and 10 QuERI related projects.
New HSR&D projects were funded in 2007:
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An Intervention to Enhance Function in Severe Cardiopulmonary Illness (IIR NRI 04-242), Bonnie G. Steele, PhD, ARNP and Cynthia M. Dougherty, PhD
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Detection of Intimate Partner Violence (IIR NRI 04-040), April A. Gerlock, PhD ARNP
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Assessing Threats to Value in Computerized Patient Care Documentations (IIR 05-019), Kenric W.Hammond, MD
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Senior Coordinated Referral (SCORE) Study (IAD 06-036), Susan C. Hedrick, PhD and Sheri Reder, PhD
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The Impact of Neighborhood Environment on Veteran Health and Survival (IIR 04-436-2), Karin Nelson, MD, MSHS
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Organizational Correlates of Adherence to Medication (IIR 07-068), Christopher L. Bryson, MD MS
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Detection of Intimate Partner Violence: Implications for Interventions (NRI 04-040), April A. Gerlock, PhD RN
Projects awaiting funding in 2008:
- Impact of MRSA Initiative on C. Difficile Rates at Selected VA Facilities (IIR 08-084), Lynn McFarland, PhD
- Hepatitis C Antiviral Treatment Rates: Understanding Ethnic Disparities (IAA 06-213), Michael K. Chapko, PhD
- Modeling of Health Care Costs of Veterans with Chronic Diseases (IIR 07-235), Xiao-Hua Andrew Zhou, PhD
- Changes in Alcohol Screening Scores and Related Health Outcomes (NEW), Katharine Bradley, MD MPH
- Diabetes, Medication Adhence, Control, and Cost (NEW), Chuan-Fen Liu, PhD and Christopher L. Bryson, MD MS
Up until recently, the Northwest Center maintained a satellite program at the Portland VA Medical Center and received strong support from leadership there. This relationship was recently terminated when Portland successfully competed for a Research Enhancement Award Program (REAP). The REAP application was jointly planned by investigators in Portland and Seattle and the Northwest Center plans to continue a close association with Portland. Dr. Fihn servces on the Steering Committee for the REAP.
Maintenance of a highly diversified research portfolio is a consistent goal of the Center that provides stability and permits leveraging of core VA resources. Moreover, participation in a variety of funding programs engenders collaboration with both VA and non-VA research communities.
The research objectives of the Center are to provide information to improve the delivery of health services to veterans and to contribute to scientific progress in the field of health services research. We seek to accomplish these objectives by focusing on four emphasis areas: management of chronic disease in primary and specialty care, preservation of independence in older adults, evaluation of alternative delivery systems, and basic methodology in health services research.
Currently Funded Projects and Abstracts
AUDIT-C as a Scaled Marker for Health Risks in VA Medical Outpatients
Katharine A. Bradley, MD MPH
VA Puget Sound Health Care System, Seattle, WA
Funding February 2006 – January 2009
Alcohol Misuse and the Risk of Post-Surgical Complications and Mortality
Katherine Bradley, MD, MPH
VA Puget Sound Health Care System, Seattle , WA
Funding September 2006 – January 2008
Organizational Correlates of Adhence to Medication
Christopher Bryson, MD MS
VA Puget Sound Health Care System, Seattle, WA
Funding April 2008 - March 2011
The Hearing Aid Effectiveness after Aural Rehabilitatio (HEAR) Trial
Margaret Collins, PhD and Bevan Yueh, MD
VA Puget Sound Health Care System, Seattle, WA
Funding January 2006- December 2008
Bronchitis and Emphysema Advice and Training to Reduce Hospitalizations (BREATH)
Vincent Fan, MD, MPH
VA Puget Sound Health Care System, Seattle , WA
Funding July 2006 – September 2010
QUERI on Ischemic Heart Disease
Stephan D. Fihn, MD, MPH
VA Puget Sound Health Care System, Seattle, WA
Funding June 1998 - September 2009
Collaborative Cardiac Care Project (C3P)
Stephan D. Fihn, MD MPH
VA Puget Sound Health Care System, Seattle, WA
Funding January 2004 – June 2008
Evaluating Quality of Care for Acute Coronary Syndromes in VHA
Stephan D. Fihn, MD MPH and Greg C. Larsen, MD
VA Puget Sound Health Care System, Seattle , WA and VA Portland Medical Center , Portland , OR
Funding October 2004 – June 2008
Development of a Cardiac Assessment and Tracking System (CART)
Stephan Fihn, MD, MPH
VA Puget Sound Health Care System, Seattle , WA
Funding January 2003 – September 2008
Detection of Intimate Partner Violence
April Gerlock, PhD, ARNP
VA Puget Sound Health Care System, Seattle, WA
Funding July 2007 - June 2011
Assessing Threats to Value in Computerized Patient Care Documentation
Kenric Hammond, MD
Funding July 2007 - June 2010
Senior Coordinated Referral (SCORE) Study
Susan Hedrick, PhD, and Sheri Reder, PhD
Funding July 2007 - June 2010
Dual Use, Continuity of Care and Duplication in VA and Medicare
Chuan-Fen Liu, PhD
VA Puget Sound Health Care System, Seattle, WA
Funding January 2006 – December 2008
The Impact of Neighborhood Environment in Veteran Health and Survival
Karin Nelson, MD, MSHS
VA Puget Sound Health Care System, Seattle, WA
Funding October 2007 - September 2009
Impact of the DoD Paradigm Shift on VA Amputee Prosthetic Care
Gayle Reiber, MPH, PhD
VA Puget Sound Health Care System, Seattle , WA
Funding April 2006 – October 2008
Diabetic Foot Ulcer Treatment and Amputation Prevention in Non-Tertiary VA Care Facilities
Gayle Reiber, MPH, PhD and Gregory Raugi, MD
VA Puget Sound Health Care System, Seattle, WA
Funding July 2006 – March 2009
An Intervention to Enhance Function in Severe Cardiopulmonary Illness
Bonnie Steele, PhD, ARNP and Cynthia M. Dougherty, PhD, ARNP
VA Puget Sound Health Care System, Seattle, WA
Funding September 2007 - August 2011
Causal Inferences on Quality of life with Deaths
Xiao-Hua Zhou, PhD
VA Puget Sound Health Care System, Seattle , WA
Funding July 2007 – June 2009
Other funding
Research Career Development Award
Christopher L. Bryson, MD MS
VA Puget Sound Health Care System, Seattle, WA
Funding July 2004 – September 2009
Research Career Development Award
Vincent S. Fan, MD MPH
VA Puget Sound Health Care System, Seattle, WA
Funding August 2003 – July 2009
Research Career Scientist Award
Susan C. Hedrick, PhD
VA Puget Sound Health Care System, Seattle, WA
Funding April 1991 - September 2009
Research Career Scientist Award
Gayle E. Reiber, MPH, PhD
VA Puget Sound Health Care System, Seattle, WA
Funding January 1999 – April 2009
Research Career Scientist Award
Xiao-Hua Andrew Zhou, PhD
VA Puget Sound Health Care System, Seattle, WA
Funding October 2007 – September 2012
Medical Informatics MD Postdoctoral Fellowship Program
Kenric W. Hammond, MD
American Lake VA Medical Center, Tacoma, WA
Funding July 1995 - June 2009
Health Services Research MD Postdoctoral Training Program
Katharine A. Bradley, MD MPH and Christopher L. Bryson, MD, MS
VA Puget Sound Health Care System, Seattle, WA
Funding July 1991 - June 2009
Health Services Research PhD Postdoctoral Training Program
Gayle E. Reiber, MPH, PhD
VA Puget Sound Health Care System, Seattle, WA
Funding October 1996 - September 2009
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