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VA Advanced Fellowship Program in Health Services Research and Development (HSR&D)

History and Purpose

In 1991, the Office of Academic Affiliations (OAA) started VA's Advanced Fellowships Program in Health Services Research and Development (HSR&D). A broad array of concerns was challenging health care delivery in VA and the nation. These concerns ranged from issues involving approaches for incorporating patient perspectives in decision making to quality, cost, and measurement issues. Few physicians had the training in health services research needed to address these critical issues, and the need for such trained physicians was increasingly dramatically. In response, OAA started the HSR&D Fellowship Program to develop a cadre of physicians with health services expertise for the VA healthcare system and to foster the development of high quality health services research and development at local and national levels.

In 2013, VA HSR&D superseded the HSR&D Centers of Excellence program with 19 new Centers of Innovation (COINs) to advance research through innovations and partnerships with key stakeholders in the VHA healthcare system. The launch of the COINs represents a significant transformation in the mission and objectives of the HSR&D Centers program. A unique feature of the COINs is that they include one or more focused areas of research that address questions of significance to VHA by engaging VHA clinical and operational partners, often executive decision makers, in the research activities of COINs.

The re-invention and re-focus of these HSR&D Advanced Fellowship host sites will offer unique opportunities for OAA Advanced Fellows. It is anticipated that experiences with stakeholder engagement, innovation, and system impact will better position fellows to contribute to areas of vital importance to VHA in the emerging healthcare environment.

This fellowship program seeks to apply the content expertise, mentoring, and educational infrastructure at selected COIN sites to provide advanced interprofessional training opportunities for physicians and associated health professionals in innovative health services research, implementation science, and healthcare system improvement.

Program Overview

The fellowship provides two years of post-residency, post-doctoral research, education, and clinical learning opportunities to eligible physicians and associated health/nursing professionals. Fellows spend approximately 75 percent of their time in research and education and 25 percent in clinical care at competitively selected VA sites. Mentors of national stature provide guidance to fellows in rich learning environments. Graduates are expected to be role models in leading, developing, conducting, and evaluating innovative health services research in a variety of clinical settings including VHA and other healthcare institutions that seek to improve care for Veterans and the Nation.

Program Announcement

Program details and application procedures:
Program Announcement

Application

To inquire about the application process and to learn more about the program, interested physicians should write to the site of their choice and send a cover letter and curriculum vitae to that site.

Health Services Research Fellowship Address List

Edith Nourse Rogers Memorial Veterans Hospital (Bedford)/VA Boston Healthcare System (Boston).
 
Co-Director, MD Post Doctorate Program: Adam Rose, MD, MSc  
Co-Director, PhD Post Doctorate Program: James Burgess, PhD
Associate Director, PhD Post Doctorate Program: Karen Quigley, PhD 
Associate Director, MD Post Doctorate Program: Steven Simon, MD, MPH 

781-687-3198
857-364-5683
781-687-2858
857-364-2258


Bedford Address:
200 Springs Road (152)
Bedford, MA 01730


Boston Address:
150 South Huntington Avenue (152M)
Boston, MA 02130

 

Research Focus: Fellowship faculty has a broad array of interests that center on studies to assess and improve the quality and access to VA healthcare. Priority areas include patient-centered care, organizational transformation and culture change, implementation of evidence-based practice, care coordination, public health communication, medication optimization and effectiveness, and mental health recovery. The program is designed to develop and enhance skills in conducting health services research toward the goal of becoming an independently funded researcher. Senior investigators serve as mentors, guiding fellows in the application and use of health services research methods, quantitative and qualitative analysis methods, implementation science methods, and the design and conduct of clinical trials involving health service innovations.


VA Greater Los Angeles Healthcare System
 
Co-Director: Debra Saliba, MD, MPH
Co-Director: Melissa Farmer, PhD

 310-825-8253
 818-891-7711 x36046
Sepulveda Campus Address:
16111 Plummer Street Building 25 (152)
North Hills, CA 91343

West Los Angeles Campus Address:
11301 Wilshire Blvd
West Los Angeles, CA 90073
 

Research Focus: The Center for the Study of Healthcare Innovation, Implementation and Policy focuses on implementation, observational and intervention research on provider behavior, quality improvement, collaborative care models and assessments of organizational factors related to quality. Strategic program areas include vulnerable populations, primary care, women’s health, genetics mental health and emergency management.


Michael E. DeBakey VA Medical Center (Houston)
 
Co-Director: Aanand Naik, MD
Co-Director: LeChauncy Woodard, MD, MPH
Co-Director: Sylvia Hysong, PhD

 713-794-8541
 713-440-4441
 713-440-4440
Address:
(MEDVAMC 152)
2002 Holcombe Boulevard
Houston, TX 77030

Research Focus: Our site offers a multidisciplinary immersion in team science approaches to health services research.  Mentors are drawn from all four scientific programs at IQuESt: Health Decision-Making & Communication, Clinical Epidemiology & Comparative Effectiveness, Behavioral Health & Implementation, and Health Policy, Quality & Informatics as well as the Houston CREATE, South Central MIRECC, Patient Safety Center of Inquiry, and VA Quality Scholars Coordinating Center. We offer didactics at IQuESt and courses at the Baylor College of Medicine, Clinical Scientist Training Program and University of Texas, School of Public Health.


James A. Haley Veterans’ Hospital (Tampa)/Malcom Randall VA Medical Center (Gainesville)
 

Co-Director: Gail Powell-Cope, PhD, ARNP, FAAN
Co-Director: Charles Levy, MD

 813-558-3911
 352-376-1611 x4922
Tampa Address:
8900 Grand Oaks Circle
Tampa FL 33637-1022

Gainesville Address:
1601 SW Archer Rd. (151B)
Gainesville, FL 32608
 

Research Focus: CINDRR is dedicated to conducting research that identifies, develops, and tests strategies for improving Veteran rehabilitation services across the continuum of care and providing long term support for Veterans with disabilities and their families, including issues related to access, utilization, cost, quality, and health outcomes. Areas of particular interest include Virtual and Technology Based Care; Informatics Research and Analytics; and Implementation Science.


VA Portland Health Care System
 
Co-Director: Linda Ganzini, MD, MPH
Co-Director: Kathleen Carlson, PhD, MS

503-220-8262 x56492
503-220-8262 x52094
Address:
Center to Improve Veteran Involvement in Care (CIVIC)
VA Portland Health Care System (R&D 66)
3710 SW US Veterans Hospital Road
Portland, OR 97239
 

Research Focus: The focus of CIVIC research is to improve Veterans' experiences with VA mental healthcare by enhancing the active participation of Veterans' and their supports in mental health treatment, with a particular focus on optimizing communication and collaboration with clinicians, self-management, and continuity of care. CIVIC investigators conduct research on mental health conditions, including posttraumatic stress disorder, chronic pain, suicide, psychiatric disorders in cancer patients, substance abuse, chronic opiate use, and traumatic brain injury, and cross-cutting topics including health disparities, clinician-patient communication, and health care informatics. Fellows may pursue individualized training tracks in these or other areas of scientific investigation, as well as in evidence synthesis or clinical innovation involving patient safety improvements.



Minneapolis VA Health Care System

 
Co-Director: Diana Burgess, PhD
Co-Director: Timothy Wilt, MD, MPH
612-467-1591
612-467-2158
Address:
Minneapolis VA Health Care System
One Veterans Drive
Minneapolis, MN 55417
 

Research Focus: The primary objective of the Center for Chronic Disease Outcome Research (CCDOR) is to optimize patient engagement in and provider use of evidence-based practices. Our areas of emphasis are PTSD, cancer prevention and high value cancer screening, and chronic pain. CCDOR also has particular strengths in TBI/polytrauma and in the following cross-cutting areas: systematic reviews, new statistical methods, and health disparities.


Providence VA Medical Center  
Co-Director: Amal Trivedi, MD
Co-Director: Kerry LaPlante, PharmD
Program Coordinator: Dawn Mello
401-273-7100 X6263
401-273-7100 x2339 or 401-874-5560
401-273-7100 x6287
Address:
Providence VA Medical Center
830 Chalkstone Avenue
Research Building 32
Providence, RI 02908


Research Focus: Improving quality of care and outcomes for aging and vulnerable Veterans, particularly those receiving long-term services and supports; optimizing the appropriate use and safety of pharmaceuticals; and redesigning health care delivery systems for chronically-ill Veterans


VA Puget Sound Health Care System (Seattle)
 
Co-Director: Bessie Young, MD, MPH
Co-Director: Karin Nelson, MD, MSHS
Co-Director: Chuan-Fen Liu, PhD, MPH
Fellowship Coordinator: Mary Little
206-277-3586
206-277-4507
206-764-2587
206-764-2611
Address:
1660 S. Columbian Way
Seattle, WA 98108 (S-152)
 

Research Focus: This Center's mission is to conduct outstanding health services research that promotes Veteran-centered and value-driven care, generate and disseminate knowledge that contributes to the well-being of Veterans, partner with VA policy and operational leaders to implement research findings into clinical care, and train the next generation of health services researchers and leaders.


VA Ann Arbor Healthcare System
 
Co-Director: Julie Lowery, PhD
Co-Director: Michele Heisler, MD
 
Address:
2215 Fuller Road
Ann Arbor MI 48105
734-845-3619
734-845-3504

Research Focus: (1.) Developing and promoting Veteran-centered and personalized decision-support tools and performance measures that increase appropriateness of care; (2.) Developing, implementing, and evaluating systems-based approaches to improve safety and outcomes for our most vulnerable, high-risk, and complex patients; and (3.) Using innovative approaches to improve the effectiveness and efficiency of patient self-management and treatment engagement.


VA Palo Alto Health Care System
 
Co-Director: Ruth Cronkite, MS, PhD
Co-Director: Douglas Owens, MD
Co-Director: Steven Asch, MD, MPH

650 493-5000 option 1, option 2, x22811
650 493-5000 1,2 x23436
650 493-5000 1,2 x23476
Address:
VA Palo Alto Health Care System
Center for Innovation to Implementation (152MPD)
795 Willow Rd.
Menlo Park, CA 94025
 

Research Focus: High value health care in mental health and medical subspecialties, Health services research methods and application, Training Objectives: Provide didactic and project-based training in health services research; Provide training in implementation science and systems redesign for high value care; Provide training and experience to enable fellows to work effectively with operational partners.


VA Eastern Colorado Health Care System (Denver)
 
Co-Director: Catherine Battaglia, PhD, RN
Co-Director: Allan Prochazka, MD, MSc
Co-Director: Michael Ho, MD, PhD
720-857-5099
303-399-8020, ext. 2144
720-857-5115
Address:
Denver VAMC
1055 Clermont
Denver CO 80220
 

Research Focus: The Center focuses on Veterans with complex chronic conditions and has broad research goals that include: (1.) Improving patients' experiences across community and healthcare settings, and (2.) Advancing the science of providing the highest quality medical care per cost of care.


Durham VA Medical Center  
Co-Director: David Edelman, MD
Co-Director: Corrine Voils, PhD  
919-286-6936
919-286-0411 ext 5196
   

Research Focus:


Philadelphia VA Medical Center/VA Pittsburgh Healthcare System  
Co-Director: Kevin Volpp, MD, PhD
Co-Director: Galen Switzer, PhD
Associate Director: Michael Fine, MD, MSc
Associate Director: Said Ibrahim, MD, MPH




215-823-5800 Ext:7163

Philadelphia Address:
Center for Health Equity Research and Promotion
Philadelphia VA Medical Center
3900 Woodland Avenue
Annex Suite 202
Philadelphia, PA 19104

Pittsburgh Address:
Center for Health Equity Research and Promotion
VA Pittsburgh Healthcare System
University Drive (151C)
Pittsburgh, PA 15240
 
   

Research Focus: The primary focus of CHERP research is to improve the quality and equity of health and health care for a broad range of vulnerable populations (e.g., racial and ethnic minorities, women, the homeless, those with diminished autonomy, sexual orientation and gender minorities). We also support 2 additional research foci designed to: (1) improve the effectiveness, safety, and value of clinical therapeutics (i.e., medications, procedures); and (2) apply the principles and techniques of behavioral economics to improve the health and health care of Veterans and other populations.


VA Connecticut Healthcare System (West Haven) NEW

 
Co-Director: Gail Powell-Cope, PhD, ARNP, FAAN
Co-Director: Lori Bastian, MD, MPH

860-667-6853
Address:
950 Campbell Ave.
West Haven CT 06516
 

Research Focus: Pain, Informatics, Multimorbidities, and Women’s Health

 

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