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School of Public Health
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Christian D. Helfrich

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Research Associate Professor, Health Services

Research Investigator
Veterans Administration Puget Sound Health Care System,


Education

PhD   University of North Carolina, 2005   (Health Services)
MPH   University of Washington, 2000   (Health Services)
BA   Gonzaga University, 1998

Contact Info

email:   helfrich@uw.edu

email:   christian.helfrich@va.gov
web site:   http://www.linkedin.com/in/christianhelfrich

address:
1100 Olive Way, Suite 1400
Seattle, WA 98101

campus box:   Mailstop S-152
voice:   206-277-1655
fax:   206-764-2935

About

Christian Helfrich has been a member of the research faculty since 2009.  He can be found on Twitter (@helfrich_c)


Dissemination and implementation research; implementation science; organizational change; change management; de-implementation of ineffective and harmful practice


Fishleder S, Petrescu-Prahova M, Harris JR, Leroux B, Bennett K, Helfrich CD, Kohn M, Hannon P. Predictors of Improvement in Physical Function in Older Adults in an Evidence-Based Physical Activity Program (EnhanceFitness). J Geriatr Phys Ther. 2018 Jul 3. doi: 10.1519/JPT.0000000000000202. [Epub ahead of print]  PMID: 29979352
PubMed
 
DOI
 


Stockdale SE, Rose D, Darling JE, Meredith LS, Helfrich CD, Dresselhaus TR, Roos P, Rubenstein LV. Communication Among Team Members Within the Patient-centered Medical Home and Patient Satisfaction With Providers: The Mediating Role of Patient-Provider Communication. Med Care. 2018 Jun;56(6):491-496. doi: 10.1097/MLR.0000000000000914.  PMID: 29683867
PubMed
 
DOI
 


Helfrich CD, Kohn MJ, Stapleton A, Allen CL, Hammerback KE, Chan KCG, Parrish AT, Ryan DE, Weiner BJ, Harris JR, Hannon PA. Readiness to Change Over Time: Change Commitment and Change Efficacy in a Workplace Health-Promotion Trial. Front Public Health. 2018 Apr 23;6:110. doi: 10.3389/fpubh.2018.00110. eCollection 2018.  PMID: 29740572    PMCID: PMC5925216
PubMed
 
PubMed Central
 
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Cooper DC, Helfrich CD, Thielke SM, Trivedi RB, Nelson KM, Reiber GE, Eugenio EC, Beaver K, Nugent-Carney J, Fan VS. Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran's Affairs Medical Facilities. Adm Policy Ment Health. 2018 Jan;45(1):131-141. doi: 10.1007/s10488-016-0775-9.  PMID: 27909877
PubMed
 
DOI
 


Helfrich CD, Simonetti JA, Clinton WL, Wood GB, Taylor L, Schectman G, Stark R, Rubenstein LV, Fihn SD, Nelson KM. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. J Gen Intern Med. 2017 Jul;32(7):760-766. doi: 10.1007/s11606-017-4011-4. Epub 2017 Feb 23.  PMID: 28233221    PMCID: PMC5481228
PubMed
 
PubMed Central
 
DOI
 


ORCID ID: 0000000298274768

Google Scholar: 2Vg4gDkAAAAJ

Scopus ID: 13407517300

2018
Member, thesis committee for Laura Bender
Household composition and home health care utilization in young and middle-aged adults.

2017
Member, thesis committee for Jon Allison
Does Military Service Modify the Relationship between Race/Ethnicity and Diabetes and Hypertension Prevalence and Control? National Health and Nutrition Examination Survey (NHANES) 20072014

2017
Member, dissertation committee for Sarah Fishleder
Development and evaluation of community-clinical linkages between physical therapy clinics and EnhanceFitness, an evidence-based physical activity program for older adults

2017
Chair, thesis committee for Edward Stapleton
Sensitivity of a readiness to change survey to change over time and between groups

2015
Chair, capstone for Kayla Down
Synthesis of the Patient Aligned Care Team (PACT) initiative for the United States Department of Veterans Affairs, Veterans Integrated Service Networks (VISN)

Increasing Implementation of Evidence-Based Interventions at Low-Wage Worksites
National Institutes of Health (NIH)
PI:   Hannon           Dates:    5/1/2016 - 4/30/2017

Increasing Implementation of Evidence-Based Interventions at Low-Wage Worksites
National Institutes of Health (NIH)
PI:   Hannon           Dates:    5/1/2015 - 4/30/2016

Improving Safety and Quality through Evidence-Based De-Implementation of Ineffective Diagnostics and Therapeutics

Dr. Helfrich serves as Co-PI of a five-year QUERI program studying de-implementation strategies of harmful and ineffective clinical practices across multiple settings. The program incorporates extensive data on organizational context and stakeholder needs, and includes close partnerships with both national clinical leaders and local clinical champions.

http://www.queri.research.va.gov/programs/safety_quality.cfm


The Organizational Readiness to Change Assessment (ORCA)

The ORCA is a structured self-report survey tool to assess the collective readiness of a clinical team or unit to implement a specific evidence-based clinical practice change, such as introducing hepatitis C screening and treatment in substance-use disorder clinics, or use of an evidence-based dosing algorithm for titrating warfarin in anti-coagulation clinics. Dr. Helfrich led a multi-site psychometric study of the ORCA and currently serves as co-investigator on three multi-site implementation trials that are using the ORCA, or have adapted the ORCA as part of implementation support activities.

http://www.nccmt.ca/resources/search/187


Evaluations of Veterans Health Administration Transformational Initiatives

Dr. Helfrich has helped evaluate four VA initiatives to improve specialty care access and care coordination through the use of alternative consultation modalities, such as electronic specialty consults (via the electronic health record), and to expand the capabilities of primary care providers to manage specialty conditions.


Evaluating Implementation of the VA Patient-Aligned Care Team (PACT) initiative

In 2010, the VA began national implementation of a patient-centered medical home model emphasizing team-based care, alternative modalities for communicating with patients, such as secure messaging, and population-based, proactive health care. Dr. Helfrich was part of the national PACT evaluation, chairing a working group of researchers and consultants to design and field a national primary care employee survey, with particular attention to assessing team-based care, barriers to effective team functioning and employee burnout. Many presentations of the findings from this work are available as video seminars: