Christian D. Helfrich
EducationPhD University of North Carolina, 2005 (Health Services)
MPH University of Washington, 2000 (Health Services)
BA Gonzaga University, 1998
Contact Infoemail: email@example.com
web site: http://www.linkedin.com/in/christianhelfrich
1100 Olive Way, Suite 1400
Seattle, WA 98101
campus box: Mailstop S-152
Christian Helfrich has been a member of the research faculty since 2009. He can be found on Twitter (@helfrich_c)
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
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
Helfrich CD, Rose AJ, Hartmann CW, van Bodegom-Vos L, Graham ID, Wood SJ, Majerczyk BR, Good CB, Pogach LM, Ball SL, Au DH, Aron DC. How the dual process model of human cognition can inform efforts to de-implement ineffective and harmful clinical practices: A preliminary model of unlearning and substitution. J Eval Clin Pract. 2018 Feb;24(1):198-205. doi: 10.1111/jep.12855. Epub 2018 Jan 5. PMID: 29314508 PMCID: PMC5900912
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
ORCID ID: 0000000298274768
Google Scholar: 2Vg4gDkAAAAJ
Scopus ID: 13407517300
PI: Hannon Dates: 5/1/2016 - 4/30/2017
PI: Hannon Dates: 5/1/2015 - 4/30/2016
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.
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.
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:
- VA Primary Care team functioning and organizational support for change, 2011 and 2012
- Extent of PACT implementation and associations with primary care employee burnout
- Burnout and working to top of competency in VA Primary Care: 2012 to 2013
- Facilitators and barriers associated with implementation of the VA Patient-Centered Medical Home
- Changes in VA Primary Care team functioning, working to top of competency and burnout from 2012-2014
- How much is burnout among VA Primary Care teams associated with staffing and workload?