Department of Medicine

University of Pittsburgh

GIM News
Donna L. Bishop, Editor

Next issue:
August 2014

Submission deadline:
July 18, 2014


Grants and Funding

Subject: Evaluating Inpatient Alcohol/ Tobacco Performance Measure Implementation
Principal Investigator: Lauren Broyles, PhD, RN
Sponsor: VA Office of Nursing Services
Purpose of Grant: The goal of this project is to identify the clinician, system, and patient level factors that influence the initiation and sustainability of The Joint Commission alcohol/tobacco measure implementation at the VA Pittsburgh Healthcare System.

Subject: VISN4 Hypertension Racial Disparity Quality Improvement Project
Principal Investigator: Leslie Hausmann, PhD
Sponsor: VISN4
Purpose of Grant: The goals of this project are to evaluate the action plans implemented across VA health care facilities in VISN4 to improve blood pressure control and reduce racial disparities among hypertensive Veterans and inform future VA-wide efforts to improve the quality and equity of health care for Veterans with hypertension and other common medical conditions.

Subject: VA/Non-VA Opioid Use Quality Improvement
Principal Investigator: C. Bernie Good, MD, MPH / Walid Gellad, MD, MPH
Sponsor: VA Pharmacy Benefits Management
Purpose of Grant: This funding supports development and implementation of research and quality improvement initiatives to improve the quality, safety, and value of opioid therapy in the VA Healthcare System.

Subject: Understanding Women's Disparities in Satisfaction with VA Healthcare
Principal Investigator: Susan Zickmund, PhD
Sponsor: VA HSR&D
Purpose of Grant: This study will pinpoint areas of dissatisfaction with VA health care among minority and non-minority women Veterans as well as potential solutions to improve care.

Subject: Modeling strategies for observational CER - what works best when?
Principal Investigator: Doug Linsettel
Sponsor: Patient-Centered Outcomes Research Institute (PCORI)
Purpose of Grant: A wide range of statistical approaches are available for analyzing observational data where treatment status is not randomized and can thus be influenced by patient, provider, and other confounding factors. The approaches include, for instance, regression adjustment, matching, propensity scores, instrumental variables, and a variety of combinations and variations of those approaches. The purpose of this research is to develop a set of decision criteria for identifying the optimal CER statistical modeling approach for a given problem and given data set.

Subject: VA Homeless Patient-Aligned Care Teams - A National Implementation Evaluation
Principal Investigator: Adam J. Gordon, MD, MPH
Sponsor: VA HSR&D Quality Enhancement Research Initiative (QUERI)
Purpose of Grant: Eliminating Veteran homelessness is among the highest priorities in the Veterans Health Administration (VHA). Another VHA priority is to redesign healthcare delivery through implementation of the Patient-Aligned Care Teams (PACTs) -an interdisciplinary, team-based health care "medical home" delivery model that focuses on providing timely, comprehensive, coordinated health care. In 2012, the VHA funded 38 national demonstration Homeless PACTs (HPACTs) designated to provide primary care that engages Veterans who are homeless or at-risk for homelessness; 12 additional HPACTs are planned. Using an implementation science framework, this team will identify the provider- and system-level barriers and facilitators to implementation of HPACTs, and identify the processes of alcohol and/or other drug (AOD) and mental health (MH) problem (a) identification, (b) treatment, and (c) referral to treatment and provider perceptions of barriers and facilitators associated with AOD and MH care execution within HPACT.