EducationPhD University of North Carolina, 2005 (Health Services)
MPH University of Washington, 2000 (Health Services)
BA Gonzaga University, 1998
Contact Infoemail: email@example.com
1100 Olive Way, Suite 1400
Seattle, WA 98101
campus box: Mailstop S-152
Gale RC, Asch SM, Taylor T, Nelson KM, Luck J, Meredith LS, Helfrich CD. The most used and most helpful facilitators for patient-centered medical home implementation. Implement Sci. 2015 Apr 19;10:52. doi: 10.1186/s13012-015-0246-9. PMID: 25924611 PMCID: PMC4414441
Ho PM, O'Donnell CI, Bradley SM, Grunwald GK, Helfrich C, Chapko M, Liu CF, Maddox TM, Tsai TT, Jesse RL, Fihn SD, Rumsfeld JS. 1-Year Risk-Adjusted Mortality and Costs of Percutaneous Coronary Intervention in the Veterans Health Administration: Insights From the VA CART Program. J Am Coll Cardiol. 2015 Jan 27;65(3):236-42. doi: 10.1016/j.jacc.2014.10.048. PMID: 25614420
Ladebue AC, Helfrich CD, Gerdes ZT, Fihn SD, Nelson KM, Sayre GG. The experience of Patient Aligned Care Team (PACT) members. Health Care Manage Rev. 2014 Dec 23. [Epub ahead of print] PMID: 25539056
Sylling PW, Wong ES, Liu CF, Hernandez SE, Batten AJ, Helfrich CD, Nelson K, Fihn SD, Hebert PL. Patient-centered medical home implementation and primary care provider turnover. Med Care. 2014 Dec;52(12):1017-22. doi: 10.1097/MLR.0000000000000230. PMID: 25271536
PI: Hannon Dates: 5/1/2015 - 4/30/2016
PI: Hannon Dates: 5/1/2014 - 4/30/2015
PI: Hannon Dates: 5/1/2013 - 4/30/2014
Principal Investigator. Examining data on organizational culture from VHA employee survey conducted in 2004. The research has three objectives: 1) validate the organizational culture component of the survey, 2) test the association of organizational culture to changes in cardiac care process measures and mortality, and 3) describe differences between physician and nurse groups in perceptions of organizational culture adjusting for gender.
Measurement equivalence/invariance analysis of organizational culture
Principal Investigator. Assess the psychometric properties of a survey instrument to measure organizational culture to determine measurement equivalence of the instrument among employees of different supervisory levels, between clinicians and non-clinician employees, and employees from within the same medical centers over time. Data came from the 2004 and 2006 VA All Employee Surveys.
Evaluating the implementation of the VA cardiovascular assessment
Co-Principal Investigator. Evaluate implementation of VA Cardiovascular Assessment Reporting and Tracking System for Cath Labs (CART-CL) among 75 VA medical centers with onsite cardiac catheterization. Identify high and low implementing medical centers using catheterization laboratory registry data and CART-CL data; conduct interviews with staff at high and low implementation sites to identify, and compare and contrast implementation policies and practices; and conduct a survey of sites to identify technical and administrative barriers and facilitators to CART-CL installation and use.
Predicting implementation from organizational readiness to change
Principal Investigator. Quality improvement studies often report that different hospitals or organizations exhibit different levels of baseline readiness to change, such as in terms of planning, resources, and leadership support; and that baseline readiness is a powerful influence on subsequent success or failure of QI implementation. A reliable, valid way of assessing organizational readiness to change could be a useful tool both as a prognostic tool to understand when an organization has a high probability of implementing a new practice, and as a diagnostic tool to identify areas (e.g., planning and goal clarity) where readiness may weak but could be improved. This study builds on a successful pilot grant to conducting scale reliability and factor structure of a survey developed by the VA Ischemic Heart Disease Quality Enhancement Research Initiative. The current study conducts a range of psychometric tests, including combining data from 4 QI studies in the VA using the instrument prospectively; the study will determine if the ORCA scales and subscales predict effective implementation among VA hospitals implementing evidence-based quality improvement practices for depression, schizophrenia, Hepatitis, and eHealth remote access.
Process oriented, validated electronic performance measures pilot study
Co-Investigator. Develop and validate an automated performance measure for treatment of hyperlipidemia and hypertension in patients with ischemic heart disease using the VA electronic health record (EHR). The ultimate goal is to improve both the quality of care and the efficiency of performance measurement by translating performance measurement from labor intensive manual chart abstraction to automated extraction of continuously updated electronic data. Project active from 2007-2008.
Appropriateness of percutaneous coronary intervention
Co-Investigator. Percutaneous coronary intervention (PCI) is a costly clinical procedure that improves outcomes for certain high-risk cardiac patients but also carries a small, but significant risk of adverse outcomes. Recently, "appropriateness" criteria have been developed to help clinicians better identify patients who will benefit from PCI. The Veterans Health Administration is well-positioned to systematically integrate PCI appropriateness via the Cardiac Assessment Reporting and Tracking System - Cath Lab (CART-CL), a software package designed to create a single national VA data repository, procedure reporting, and quality improvement program for procedures performed in the 75 VA cardiac catheterization laboratories. The present study will develop the methods necessary to classify the appropriateness of PCIs performed nationwide in the VA through CART-CL. Project outcomes will be: (1) classification of appropriateness of PCI; (2) identification of data elements necessary for complete appropriateness classification of PCI; and (3) validation of CART-CL data elements for appropriateness classification. Project active from 2007-2011.